| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,842 |
7,447 |
$380K |
| E0431 |
Portable gaseous 02 |
8,701 |
6,470 |
$73K |
| E0143 |
Walker folding wheeled w/o s |
1,845 |
1,303 |
$49K |
| E0466 |
Home vent non-invasive inter |
292 |
267 |
$43K |
| E0570 |
Nebulizer with compression |
1,701 |
1,415 |
$27K |
| E0114 |
Crutch underarm pair no wood |
769 |
573 |
$23K |
| E0260 |
Hosp bed semi-electr w/ matt |
626 |
494 |
$18K |
| E0601 |
Cont airway pressure device |
1,220 |
997 |
$15K |
| L3660 |
So 8 ab rstr can/web pre ots |
273 |
182 |
$8K |
| K0001 |
Standard wheelchair |
1,178 |
1,115 |
$5K |
| E0163 |
Commode chair with fixed arm |
67 |
49 |
$2K |
| E1140 |
Wheelchair standard detach a |
77 |
54 |
$2K |
| A7038 |
Pos airway pressure filter |
657 |
547 |
$1K |
| A7035 |
Pos airway press headgear |
203 |
159 |
$598.63 |
| A7030 |
Cpap full face mask |
16 |
13 |
$191.64 |
| A7037 |
Pos airway pressure tubing |
96 |
85 |
$182.53 |
| A7003 |
Nebulizer administration set |
58 |
26 |
$72.75 |
| A7039 |
Filter, non disposable w pap |
67 |
58 |
$33.44 |