| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,830 |
7,175 |
$597K |
| A4520 |
Incontinence garment anytype |
3,322 |
3,014 |
$338K |
| E0570 |
Nebulizer with compression |
3,847 |
3,472 |
$153K |
| E0431 |
Portable gaseous 02 |
3,875 |
3,551 |
$65K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,333 |
2,105 |
$62K |
| E0601 |
Cont airway pressure device |
1,427 |
1,183 |
$50K |
| K0001 |
Standard wheelchair |
3,555 |
3,216 |
$47K |
| A7005 |
Nondisposable nebulizer set |
1,300 |
1,219 |
$27K |
| A4554 |
Disposable underpads |
1,114 |
1,000 |
$27K |
| A7030 |
Cpap full face mask |
251 |
229 |
$15K |
| A7035 |
Pos airway press headgear |
529 |
475 |
$12K |
| A7037 |
Pos airway pressure tubing |
548 |
497 |
$12K |
| A7038 |
Pos airway pressure filter |
1,043 |
942 |
$11K |
| L3908 |
Who cock-up nonmolde pre ots |
154 |
84 |
$5K |
| E0951 |
Loop heel |
4,481 |
1,897 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
65 |
65 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
145 |
129 |
$4K |
| E0245 |
Tub stool or bench |
38 |
37 |
$4K |
| K0823 |
Pwc gp 2 std cap chair |
26 |
24 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
674 |
612 |
$3K |
| A5513 |
Multi den insert custom mold |
27 |
25 |
$3K |
| A5500 |
Diab shoe for density insert |
26 |
25 |
$3K |
| A6530 |
Compression stocking bk18-30 |
49 |
34 |
$3K |
| K0800 |
Pov group 1 std up to 300lbs |
84 |
72 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
41 |
37 |
$3K |
| A7039 |
Filter, non disposable w pap |
102 |
92 |
$2K |
| E0303 |
Hosp bed hvy dty xtra wide |
29 |
25 |
$1K |
| E0163 |
Commode chair with fixed arm |
14 |
13 |
$520.34 |
| E0156 |
Walker seat attachment |
64 |
51 |
$353.98 |
| E0100 |
Cane adjust/fixed with tip |
13 |
12 |
$167.49 |