| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,879 |
13,340 |
$748K |
| E0601 |
Cont airway pressure device |
5,831 |
5,620 |
$186K |
| L4386 |
Non-pneum walk boot pre cst |
1,365 |
1,315 |
$176K |
| A7030 |
Cpap full face mask |
2,285 |
2,170 |
$137K |
| E0431 |
Portable gaseous 02 |
10,770 |
10,357 |
$124K |
| A4604 |
Tubing with heating element |
4,024 |
3,836 |
$106K |
| E0562 |
Humidifier heated used w pap |
8,157 |
7,920 |
$95K |
| E0114 |
Crutch underarm pair no wood |
1,948 |
1,867 |
$93K |
| L3908 |
Who cock-up nonmolde pre ots |
1,946 |
1,815 |
$91K |
| A7034 |
Nasal application device |
2,202 |
2,102 |
$86K |
| E0470 |
Rad w/o backup non-inv intfc |
1,128 |
1,105 |
$77K |
| E0570 |
Nebulizer with compression |
9,075 |
8,819 |
$75K |
| E0143 |
Walker folding wheeled w/o s |
3,990 |
3,871 |
$55K |
| L1820 |
Ko elas w/ condyle pads & jo |
425 |
406 |
$44K |
| A7035 |
Pos airway press headgear |
3,247 |
3,109 |
$43K |
| E0445 |
Oximeter non-invasive |
179 |
175 |
$39K |
| K0001 |
Standard wheelchair |
2,330 |
2,246 |
$39K |
| A7031 |
Replacement facemask interfa |
1,917 |
1,815 |
$37K |
| A7032 |
Replacement nasal cushion |
1,736 |
1,664 |
$34K |
| A7038 |
Pos airway pressure filter |
7,018 |
6,642 |
$21K |
| L1902 |
Afo ankle gauntlet pre ots |
295 |
287 |
$18K |
| L3931 |
Whfo nontorsion joint prefab |
282 |
263 |
$17K |
| E0465 |
Home vent invasive interface |
12 |
12 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,290 |
1,221 |
$10K |
| E0434 |
Portable liquid 02 |
375 |
358 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
52 |
51 |
$6K |
| L4350 |
Ankle control ortho pre ots |
55 |
51 |
$3K |
| K0195 |
Elevating whlchair leg rests |
335 |
284 |
$3K |
| A7033 |
Replacement nasal pillows |
177 |
162 |
$3K |
| A7003 |
Nebulizer administration set |
1,522 |
1,470 |
$3K |
| E0149 |
Heavy duty wheeled walker |
281 |
271 |
$3K |
| E0443 |
Portable 02 contents, gas |
351 |
320 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
24 |
24 |
$2K |
| A7036 |
Pos airway press chinstrap |
233 |
219 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
17 |
13 |
$1K |
| E0156 |
Walker seat attachment |
14 |
13 |
$136.15 |
| A7039 |
Filter, non disposable w pap |
47 |
42 |
$94.98 |