| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,618 |
3,524 |
$282K |
| A7030 |
Cpap full face mask |
2,657 |
2,595 |
$184K |
| A7031 |
Replacement facemask interfa |
5,314 |
5,095 |
$170K |
| E0601 |
Cont airway pressure device |
3,196 |
3,149 |
$145K |
| L3660 |
So 8 ab rstr can/web pre ots |
3,085 |
3,005 |
$117K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,357 |
1,333 |
$115K |
| E0114 |
Crutch underarm pair no wood |
3,984 |
3,926 |
$95K |
| A7034 |
Nasal application device |
1,627 |
1,594 |
$73K |
| A7032 |
Replacement nasal cushion |
1,956 |
1,888 |
$69K |
| E0470 |
Rad w/o backup non-inv intfc |
389 |
388 |
$51K |
| E0445 |
Oximeter non-invasive |
996 |
965 |
$50K |
| A7037 |
Pos airway pressure tubing |
2,777 |
2,713 |
$47K |
| K0738 |
Portable gas oxygen system |
1,502 |
1,457 |
$38K |
| A7038 |
Pos airway pressure filter |
8,783 |
8,420 |
$38K |
| E0562 |
Humidifier heated used w pap |
415 |
411 |
$36K |
| A7035 |
Pos airway press headgear |
2,284 |
2,241 |
$32K |
| E0570 |
Nebulizer with compression |
898 |
847 |
$30K |
| A7033 |
Replacement nasal pillows |
1,044 |
1,013 |
$25K |
| L3908 |
Who cock-up nonmolde pre ots |
1,164 |
1,093 |
$23K |
| L4350 |
Ankle control ortho pre ots |
672 |
663 |
$22K |
| E0431 |
Portable gaseous 02 |
1,267 |
1,238 |
$17K |
| L1830 |
Ko immob canvas long pre ots |
682 |
667 |
$17K |
| L3260 |
Ambulatory surgical boot eac |
790 |
762 |
$11K |
| A7046 |
Repl water chamber, pap dev |
1,844 |
1,813 |
$11K |
| L3809 |
Whfo w/o joints pre ots |
134 |
126 |
$9K |
| E0600 |
Suction pump portab hom modl |
281 |
271 |
$8K |
| A7005 |
Nondisposable nebulizer set |
478 |
465 |
$6K |
| A7000 |
Disposable canister for pump |
177 |
172 |
$3K |
| L3670 |
So acro/clav can web pre ots |
59 |
58 |
$3K |
| A7039 |
Filter, non disposable w pap |
468 |
452 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
55 |
54 |
$3K |
| A7002 |
Tubing used w suction pump |
173 |
161 |
$2K |
| A4604 |
Tubing with heating element |
1,050 |
1,028 |
$774.91 |
| A4628 |
Oropharyngeal suction cath |
129 |
124 |
$554.50 |
| A4565 |
Slings |
39 |
39 |
$251.08 |
| A7003 |
Nebulizer administration set |
115 |
111 |
$225.56 |
| A7013 |
Disposable compressor filter |
478 |
464 |
$198.42 |
| A7015 |
Aerosol mask used w nebulize |
56 |
56 |
$50.16 |