| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
54,629 |
51,121 |
$4.24M |
| E0601 |
Cont airway pressure device |
83,381 |
76,583 |
$3.90M |
| A7030 |
Cpap full face mask |
23,821 |
22,355 |
$1.83M |
| E0562 |
Humidifier heated used w pap |
61,940 |
56,135 |
$1.52M |
| E0470 |
Rad w/o backup non-inv intfc |
9,455 |
8,681 |
$1.15M |
| A4604 |
Tubing with heating element |
35,913 |
33,553 |
$920K |
| E0466 |
Home vent non-invasive inter |
1,854 |
1,823 |
$908K |
| A7034 |
Nasal application device |
16,665 |
15,608 |
$811K |
| E0431 |
Portable gaseous 02 |
44,404 |
41,563 |
$631K |
| A7031 |
Replacement facemask interfa |
21,606 |
20,465 |
$579K |
| A7035 |
Pos airway press headgear |
28,448 |
26,513 |
$545K |
| K0001 |
Standard wheelchair |
21,005 |
18,554 |
$521K |
| E0260 |
Hosp bed semi-electr w/ matt |
14,897 |
13,947 |
$490K |
| A7032 |
Replacement nasal cushion |
16,358 |
15,300 |
$446K |
| A7038 |
Pos airway pressure filter |
67,087 |
62,249 |
$319K |
| E0471 |
Rad w/backup non inv intrfc |
1,735 |
1,556 |
$307K |
| A7046 |
Repl water chamber, pap dev |
25,658 |
23,871 |
$269K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,019 |
1,821 |
$223K |
| A7033 |
Replacement nasal pillows |
10,181 |
9,542 |
$209K |
| B4035 |
Enteral feed supp pump per d |
1,564 |
1,412 |
$161K |
| E0143 |
Walker folding wheeled w/o s |
2,946 |
2,778 |
$148K |
| E0570 |
Nebulizer with compression |
8,127 |
7,527 |
$145K |
| E0163 |
Commode chair with fixed arm |
2,762 |
2,621 |
$144K |
| E0630 |
Patient lift hydraulic |
4,455 |
4,230 |
$139K |
| B4150 |
Ef complet w/intact nutrient |
1,465 |
1,327 |
$138K |
| K0003 |
Lightweight wheelchair |
4,155 |
3,829 |
$132K |
| B4034 |
Enter feed supkit syr by day |
1,767 |
1,606 |
$108K |
| E1392 |
Portable oxygen concentrator |
6,159 |
5,509 |
$106K |
| E0600 |
Suction pump portab hom modl |
3,595 |
3,325 |
$74K |
| K0007 |
Extra heavy duty wheelchair |
900 |
808 |
$73K |
| B9002 |
Enter nutr inf pump any type |
1,197 |
1,059 |
$66K |
| A7039 |
Filter, non disposable w pap |
9,534 |
8,739 |
$65K |
| B4154 |
Ef spec metabolic noninherit |
388 |
356 |
$62K |
| A7037 |
Pos airway pressure tubing |
3,370 |
3,171 |
$53K |
| K0006 |
Heavy duty wheelchair |
803 |
751 |
$36K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,396 |
1,240 |
$35K |
| E0971 |
Wheelchair anti-tipping devi |
10,627 |
7,183 |
$35K |
| E0247 |
Trans bench w/wo comm open |
370 |
364 |
$34K |
| A4624 |
Tracheal suction tube |
330 |
280 |
$33K |
| A7005 |
Nondisposable nebulizer set |
2,164 |
1,950 |
$29K |
| E0240 |
Bath/shower chair |
320 |
298 |
$27K |
| E0565 |
Compressor air power source |
987 |
868 |
$26K |
| E0603 |
Electric breast pump |
240 |
184 |
$25K |
| A4623 |
Tracheostomy inner cannula |
247 |
223 |
$23K |
| A4629 |
Tracheostomy care kit |
312 |
290 |
$23K |
| A6402 |
Sterile gauze <= 16 sq in |
2,298 |
1,944 |
$23K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
333 |
264 |
$18K |
| A6446 |
Conform band s w>=3" <5"/yd |
592 |
485 |
$14K |
| A7526 |
Tracheostomy tube collar |
231 |
196 |
$12K |
| E0181 |
Press pad alternating w/ pum |
825 |
796 |
$9K |
| K0053 |
Elevate footrest articulate |
245 |
180 |
$8K |
| A7036 |
Pos airway press chinstrap |
1,089 |
1,024 |
$8K |
| E0776 |
Iv pole |
2,039 |
1,858 |
$8K |
| E0165 |
Commode chair with detacharm |
268 |
260 |
$7K |
| E0443 |
Portable 02 contents, gas |
285 |
268 |
$7K |
| E0961 |
Wheelchair brake extension |
2,843 |
2,506 |
$6K |
| K0195 |
Elevating whlchair leg rests |
2,288 |
2,147 |
$5K |
| A4450 |
Non-waterproof tape |
1,065 |
908 |
$5K |
| A4216 |
Sterile water/saline, 10 ml |
300 |
185 |
$5K |
| E0245 |
Tub stool or bench |
70 |
69 |
$3K |
| A4628 |
Oropharyngeal suction cath |
379 |
335 |
$2K |
| A7000 |
Disposable canister for pump |
363 |
349 |
$2K |
| A4385 |
Ost skn barrier sld ext wear |
70 |
63 |
$2K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
13 |
12 |
$2K |
| A4357 |
Bedside drainage bag |
159 |
131 |
$2K |
| E0185 |
Gel pressure mattress pad |
38 |
36 |
$2K |
| A6212 |
Foam drg <=16 sq in w/border |
15 |
14 |
$1K |
| A4217 |
Sterile water/saline, 500 ml |
172 |
158 |
$1K |
| A7002 |
Tubing used w suction pump |
392 |
377 |
$936.35 |
| E0156 |
Walker seat attachment |
159 |
138 |
$839.19 |
| E1038 |
Transport chair pt wt<=300lb |
172 |
169 |
$743.12 |
| A7013 |
Disposable compressor filter |
1,755 |
1,583 |
$668.07 |
| A4927 |
Non-sterile gloves |
57 |
51 |
$416.05 |
| A7015 |
Aerosol mask used w nebulize |
431 |
398 |
$386.16 |
| E0978 |
W/c acc,saf belt pelv strap |
15 |
12 |
$257.59 |
| A7003 |
Nebulizer administration set |
118 |
105 |
$131.37 |
| A5120 |
Skin barrier, wipe or swab |
29 |
27 |
$128.46 |
| A7007 |
Lg vol nebulizer disposable |
15 |
12 |
$42.52 |
| A7525 |
Tracheostomy mask |
30 |
25 |
$36.68 |