| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
45,990 |
44,561 |
$2.86M |
| E0601 |
Cont airway pressure device |
42,203 |
40,889 |
$1.88M |
| A7030 |
Cpap full face mask |
23,691 |
22,936 |
$1.61M |
| E0466 |
Home vent non-invasive inter |
3,112 |
3,015 |
$1.49M |
| A7031 |
Replacement facemask interfa |
45,636 |
43,977 |
$1.31M |
| E0465 |
Home vent invasive interface |
563 |
518 |
$919K |
| A4604 |
Tubing with heating element |
33,363 |
32,303 |
$839K |
| E0470 |
Rad w/o backup non-inv intfc |
8,928 |
8,656 |
$774K |
| A7032 |
Replacement nasal cushion |
21,876 |
20,881 |
$724K |
| A7034 |
Nasal application device |
15,148 |
14,713 |
$696K |
| E0603 |
Electric breast pump |
4,619 |
4,404 |
$676K |
| E0562 |
Humidifier heated used w pap |
6,154 |
5,962 |
$664K |
| L4361 |
Pneuma/vac walk boot pre ots |
4,785 |
4,554 |
$624K |
| E0570 |
Nebulizer with compression |
25,786 |
24,954 |
$618K |
| E0260 |
Hosp bed semi-electr w/ matt |
16,257 |
15,750 |
$552K |
| E0565 |
Compressor air power source |
1,460 |
1,403 |
$413K |
| A7038 |
Pos airway pressure filter |
85,452 |
80,903 |
$326K |
| E0431 |
Portable gaseous 02 |
28,901 |
27,928 |
$314K |
| A7035 |
Pos airway press headgear |
23,095 |
22,417 |
$312K |
| E0143 |
Walker folding wheeled w/o s |
7,954 |
7,618 |
$298K |
| A7033 |
Replacement nasal pillows |
11,918 |
11,373 |
$264K |
| K0001 |
Standard wheelchair |
15,196 |
14,737 |
$250K |
| L3809 |
Whfo w/o joints pre ots |
2,046 |
1,894 |
$207K |
| B4035 |
Enteral feed supp pump per d |
1,758 |
1,581 |
$197K |
| E0471 |
Rad w/backup non inv intrfc |
911 |
876 |
$188K |
| K0003 |
Lightweight wheelchair |
6,489 |
6,283 |
$168K |
| E0114 |
Crutch underarm pair no wood |
7,134 |
6,852 |
$161K |
| L3908 |
Who cock-up nonmolde pre ots |
5,002 |
4,285 |
$145K |
| A7046 |
Repl water chamber, pap dev |
18,263 |
17,757 |
$140K |
| A4623 |
Tracheostomy inner cannula |
1,212 |
1,151 |
$130K |
| B4150 |
Ef complet w/intact nutrient |
1,470 |
1,327 |
$121K |
| E2611 |
Gen use back cush wdth <22in |
1,335 |
1,280 |
$121K |
| L3660 |
So 8 ab rstr can/web pre ots |
2,651 |
2,514 |
$119K |
| E0483 |
Hi freq chest wall oscil sys |
255 |
254 |
$119K |
| B9002 |
Enter nutr inf pump any type |
2,287 |
2,237 |
$95K |
| E0163 |
Commode chair with fixed arm |
3,379 |
3,237 |
$92K |
| L4350 |
Ankle control ortho pre ots |
2,292 |
2,192 |
$88K |
| E0482 |
Cough stimulating device |
351 |
340 |
$85K |
| B4152 |
Ef calorie dense>/=1.5kcal |
872 |
797 |
$81K |
| A4624 |
Tracheal suction tube |
1,196 |
1,116 |
$80K |
| A7037 |
Pos airway pressure tubing |
5,421 |
5,270 |
$80K |
| E0630 |
Patient lift hydraulic |
3,901 |
3,784 |
$76K |
| A7039 |
Filter, non disposable w pap |
13,479 |
13,017 |
$74K |
| E0600 |
Suction pump portab hom modl |
2,939 |
2,845 |
$72K |
| L1812 |
Ko elastic w/joints pre ots |
1,540 |
1,358 |
$67K |
| E0185 |
Gel pressure mattress pad |
1,063 |
1,019 |
$63K |
| E1392 |
Portable oxygen concentrator |
6,782 |
6,605 |
$63K |
| K0006 |
Heavy duty wheelchair |
1,629 |
1,555 |
$62K |
| K0004 |
High strength ltwt whlchr |
1,239 |
1,215 |
$59K |
| L1902 |
Afo ankle gauntlet pre ots |
1,454 |
1,354 |
$56K |
| E0971 |
Wheelchair anti-tipping devi |
2,284 |
1,877 |
$54K |
| L1830 |
Ko immob canvas long pre ots |
1,455 |
1,373 |
$51K |
| B4034 |
Enter feed supkit syr by day |
922 |
838 |
$51K |
| E0265 |
Hosp bed total electr w/ mat |
713 |
683 |
$49K |
| K0007 |
Extra heavy duty wheelchair |
739 |
712 |
$49K |
| A4606 |
Oxygen probe used w oximeter |
1,058 |
974 |
$47K |
| E0445 |
Oximeter non-invasive |
2,444 |
2,285 |
$45K |
| E0973 |
W/ch access det adj armrest |
1,380 |
1,074 |
$42K |
| K0195 |
Elevating whlchair leg rests |
9,047 |
8,728 |
$40K |
| E0240 |
Bath/shower chair |
1,661 |
1,605 |
$39K |
| L1833 |
Ko adj jnt pos r sup pre ots |
190 |
180 |
$38K |
| K0738 |
Portable gas oxygen system |
2,411 |
2,333 |
$38K |
| L1820 |
Ko elas w/ condyle pads & jo |
1,232 |
1,126 |
$36K |
| A7526 |
Tracheostomy tube collar |
1,327 |
1,269 |
$34K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,811 |
1,717 |
$34K |
| A4629 |
Tracheostomy care kit |
778 |
740 |
$33K |
| E0247 |
Trans bench w/wo comm open |
580 |
548 |
$33K |
| A7507 |
Integrated filter & holder |
748 |
712 |
$33K |
| A7005 |
Nondisposable nebulizer set |
2,196 |
2,105 |
$26K |
| E0277 |
Powered pres-redu air mattrs |
622 |
606 |
$25K |
| A7520 |
Trach/laryn tube non-cuffed |
814 |
780 |
$24K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
299 |
285 |
$23K |
| E0149 |
Heavy duty wheeled walker |
678 |
660 |
$22K |
| E0776 |
Iv pole |
2,371 |
2,334 |
$20K |
| E0261 |
Hosp bed semi-electr w/o mat |
403 |
396 |
$19K |
| A4628 |
Oropharyngeal suction cath |
1,278 |
1,200 |
$18K |
| E0303 |
Hosp bed hvy dty xtra wide |
141 |
135 |
$15K |
| B9998 |
Enteral supp not otherwise c |
142 |
127 |
$13K |
| A7000 |
Disposable canister for pump |
1,837 |
1,716 |
$12K |
| E0961 |
Wheelchair brake extension |
1,057 |
840 |
$12K |
| A7036 |
Pos airway press chinstrap |
1,570 |
1,534 |
$11K |
| A6530 |
Compression stocking bk18-30 |
266 |
186 |
$11K |
| E0165 |
Commode chair with detacharm |
1,172 |
1,135 |
$11K |
| A4927 |
Non-sterile gloves |
780 |
731 |
$11K |
| E0156 |
Walker seat attachment |
1,516 |
1,477 |
$10K |
| E1038 |
Transport chair pt wt<=300lb |
1,796 |
1,760 |
$8K |
| E0181 |
Press pad alternating w/ pum |
1,336 |
1,288 |
$8K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
27 |
26 |
$7K |
| L3924 |
Hfo without joints pre ots |
263 |
230 |
$7K |
| A7002 |
Tubing used w suction pump |
1,840 |
1,735 |
$6K |
| L3670 |
So acro/clav can web pre ots |
112 |
104 |
$6K |
| E0951 |
Loop heel |
768 |
591 |
$6K |
| L2795 |
Knee control full kneecap |
176 |
151 |
$5K |
| L1851 |
Ko single upright prefab ots |
15 |
12 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
505 |
493 |
$4K |
| E1226 |
Manual fully reclining back |
268 |
245 |
$4K |
| E0250 |
Hosp bed fixed ht w/ mattres |
234 |
232 |
$4K |
| E0100 |
Cane adjust/fixed with tip |
423 |
410 |
$3K |
| L4387 |
Non-pneum walk boot pre ots |
41 |
38 |
$3K |
| E0244 |
Toilet seat raised |
70 |
67 |
$2K |
| A7010 |
Disposable corrugated tubing |
143 |
128 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,609 |
1,529 |
$1K |
| A7521 |
Trach/laryn tube cuffed |
37 |
36 |
$1K |
| E0978 |
W/c acc,saf belt pelv strap |
43 |
40 |
$826.67 |
| L3260 |
Ambulatory surgical boot eac |
367 |
346 |
$787.26 |
| A7013 |
Disposable compressor filter |
1,889 |
1,816 |
$763.66 |
| A4216 |
Sterile water/saline, 10 ml |
124 |
120 |
$750.87 |
| A4627 |
Spacer bag/reservoir |
64 |
64 |
$743.06 |
| A7007 |
Lg vol nebulizer disposable |
215 |
196 |
$683.54 |
| A6402 |
Sterile gauze <= 16 sq in |
84 |
80 |
$650.16 |
| A7525 |
Tracheostomy mask |
494 |
469 |
$572.19 |
| A4565 |
Slings |
119 |
118 |
$548.47 |
| E0271 |
Mattress innerspring |
16 |
14 |
$535.08 |
| E1020 |
Residual limb support system |
40 |
37 |
$454.46 |
| B4088 |
Gastro/jejuno tube, low-pro |
27 |
27 |
$331.96 |
| A7003 |
Nebulizer administration set |
170 |
154 |
$316.72 |
| K0002 |
Stnd hemi (low seat) whlchr |
13 |
12 |
$242.37 |
| A7012 |
Nebulizer water collec devic |
27 |
24 |
$56.30 |
| A4450 |
Non-waterproof tape |
12 |
12 |
$19.46 |