| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,685 |
7,607 |
$681K |
| E0431 |
Portable gaseous 02 |
5,946 |
5,891 |
$102K |
| E0601 |
Cont airway pressure device |
1,542 |
1,533 |
$86K |
| E0570 |
Nebulizer with compression |
1,248 |
1,238 |
$60K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,356 |
1,331 |
$56K |
| E0143 |
Walker folding wheeled w/o s |
638 |
624 |
$33K |
| B4150 |
Ef complet w/intact nutrient |
168 |
168 |
$28K |
| K0001 |
Standard wheelchair |
1,405 |
1,385 |
$22K |
| E0114 |
Crutch underarm pair no wood |
734 |
730 |
$21K |
| E0562 |
Humidifier heated used w pap |
1,573 |
1,566 |
$20K |
| E0603 |
Electric breast pump |
150 |
148 |
$20K |
| A7030 |
Cpap full face mask |
236 |
230 |
$17K |
| E0470 |
Rad w/o backup non-inv intfc |
136 |
136 |
$13K |
| A7038 |
Pos airway pressure filter |
587 |
570 |
$13K |
| A7035 |
Pos airway press headgear |
506 |
491 |
$10K |
| A7037 |
Pos airway pressure tubing |
329 |
327 |
$8K |
| L4361 |
Pneuma/vac walk boot pre ots |
46 |
46 |
$7K |
| L3908 |
Who cock-up nonmolde pre ots |
109 |
104 |
$5K |
| A7034 |
Nasal application device |
117 |
111 |
$5K |
| L4350 |
Ankle control ortho pre ots |
77 |
77 |
$5K |
| L3809 |
Whfo w/o joints pre ots |
33 |
33 |
$4K |
| E0630 |
Patient lift hydraulic |
183 |
180 |
$4K |
| L3660 |
So 8 ab rstr can/web pre ots |
58 |
58 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
118 |
118 |
$3K |
| L1830 |
Ko immob canvas long pre ots |
60 |
60 |
$3K |
| E0149 |
Heavy duty wheeled walker |
159 |
156 |
$3K |
| E0156 |
Walker seat attachment |
380 |
369 |
$2K |
| A7005 |
Nondisposable nebulizer set |
110 |
109 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
63 |
63 |
$1K |
| K0195 |
Elevating whlchair leg rests |
246 |
238 |
$972.31 |
| K0003 |
Lightweight wheelchair |
14 |
13 |
$494.93 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$289.39 |
| A7046 |
Repl water chamber, pap dev |
42 |
41 |
$271.31 |
| A7003 |
Nebulizer administration set |
141 |
138 |
$183.51 |
| A4253 |
Blood glucose/reagent strips |
12 |
12 |
$124.99 |
| A7013 |
Disposable compressor filter |
50 |
49 |
$0.82 |