| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,886 |
14,694 |
$1.50M |
| E0601 |
Cont airway pressure device |
5,376 |
5,041 |
$405K |
| E0570 |
Nebulizer with compression |
6,013 |
5,875 |
$310K |
| A7030 |
Cpap full face mask |
1,899 |
1,877 |
$158K |
| E0470 |
Rad w/o backup non-inv intfc |
1,055 |
999 |
$145K |
| E0431 |
Portable gaseous 02 |
6,408 |
5,867 |
$143K |
| E0562 |
Humidifier heated used w pap |
4,863 |
4,511 |
$129K |
| A7034 |
Nasal application device |
2,383 |
2,357 |
$97K |
| E0143 |
Walker folding wheeled w/o s |
1,687 |
1,680 |
$93K |
| E1392 |
Portable oxygen concentrator |
3,568 |
3,403 |
$78K |
| L3908 |
Who cock-up nonmolde pre ots |
1,165 |
1,048 |
$53K |
| K0001 |
Standard wheelchair |
2,125 |
1,973 |
$46K |
| A7037 |
Pos airway pressure tubing |
3,625 |
3,581 |
$43K |
| L1930 |
Afo plastic |
233 |
233 |
$41K |
| A7035 |
Pos airway press headgear |
2,787 |
2,750 |
$40K |
| A7005 |
Nondisposable nebulizer set |
1,427 |
1,419 |
$25K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,053 |
1,034 |
$21K |
| E0114 |
Crutch underarm pair no wood |
760 |
759 |
$20K |
| A7039 |
Filter, non disposable w pap |
2,120 |
2,102 |
$9K |
| E0149 |
Heavy duty wheeled walker |
323 |
315 |
$8K |
| A7038 |
Pos airway pressure filter |
1,845 |
1,806 |
$7K |
| E0261 |
Hosp bed semi-electr w/o mat |
169 |
154 |
$6K |
| L3670 |
So acro/clav can web pre ots |
75 |
75 |
$5K |
| L1902 |
Afo ankle gauntlet pre ots |
84 |
83 |
$4K |
| E0156 |
Walker seat attachment |
374 |
369 |
$3K |
| B4035 |
Enteral feed supp pump per d |
39 |
37 |
$3K |
| A7003 |
Nebulizer administration set |
1,598 |
1,581 |
$3K |
| K0738 |
Portable gas oxygen system |
49 |
36 |
$1K |
| E0240 |
Bath/shower chair |
38 |
38 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
24 |
24 |
$1K |
| A7046 |
Repl water chamber, pap dev |
115 |
114 |
$768.59 |
| A7031 |
Replacement facemask interfa |
12 |
12 |
$615.88 |
| A7015 |
Aerosol mask used w nebulize |
457 |
449 |
$497.13 |
| E0100 |
Cane adjust/fixed with tip |
15 |
14 |
$166.26 |
| A7000 |
Disposable canister for pump |
15 |
13 |
$158.76 |