| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,080 |
10,154 |
$738K |
| K0738 |
Portable gas oxygen system |
6,592 |
5,745 |
$132K |
| E0260 |
Hosp bed semi-electr w/ matt |
5,231 |
3,803 |
$130K |
| E0601 |
Cont airway pressure device |
2,445 |
2,012 |
$109K |
| E2402 |
Neg press wound therapy pump |
218 |
169 |
$103K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,661 |
879 |
$99K |
| A4554 |
Disposable underpads |
1,861 |
1,713 |
$96K |
| T4527 |
Adult size pull-on lg |
631 |
589 |
$89K |
| B4035 |
Enteral feed supp pump per d |
1,245 |
591 |
$79K |
| E0143 |
Walker folding wheeled w/o s |
1,676 |
1,509 |
$69K |
| K0003 |
Lightweight wheelchair |
2,554 |
2,092 |
$60K |
| B4034 |
Enter feed supkit syr by day |
1,521 |
759 |
$58K |
| A7030 |
Cpap full face mask |
858 |
744 |
$55K |
| T4526 |
Adult size pull-on med |
433 |
409 |
$52K |
| E0570 |
Nebulizer with compression |
2,161 |
2,060 |
$46K |
| T4528 |
Adult size pull-on xl |
300 |
278 |
$43K |
| E0163 |
Commode chair with fixed arm |
1,037 |
944 |
$43K |
| E0470 |
Rad w/o backup non-inv intfc |
602 |
413 |
$41K |
| A4623 |
Tracheostomy inner cannula |
682 |
407 |
$36K |
| K0007 |
Extra heavy duty wheelchair |
450 |
359 |
$34K |
| E0630 |
Patient lift hydraulic |
1,191 |
919 |
$31K |
| K0001 |
Standard wheelchair |
2,563 |
2,151 |
$29K |
| E0562 |
Humidifier heated used w pap |
235 |
196 |
$28K |
| E1392 |
Portable oxygen concentrator |
1,405 |
1,215 |
$26K |
| K0195 |
Elevating whlchair leg rests |
3,625 |
3,252 |
$24K |
| E0971 |
Wheelchair anti-tipping devi |
686 |
614 |
$24K |
| A4629 |
Tracheostomy care kit |
633 |
394 |
$23K |
| B9002 |
Enter nutr inf pump any type |
456 |
298 |
$20K |
| E0465 |
Home vent invasive interface |
38 |
24 |
$18K |
| A7034 |
Nasal application device |
348 |
305 |
$18K |
| E2611 |
Gen use back cush wdth <22in |
187 |
172 |
$17K |
| A7035 |
Pos airway press headgear |
1,053 |
922 |
$16K |
| A7037 |
Pos airway pressure tubing |
673 |
594 |
$15K |
| A7031 |
Replacement facemask interfa |
680 |
569 |
$14K |
| E0240 |
Bath/shower chair |
239 |
213 |
$13K |
| K0006 |
Heavy duty wheelchair |
560 |
396 |
$13K |
| A7000 |
Disposable canister for pump |
741 |
530 |
$13K |
| E0149 |
Heavy duty wheeled walker |
495 |
396 |
$12K |
| E0600 |
Suction pump portab hom modl |
527 |
445 |
$11K |
| E0247 |
Trans bench w/wo comm open |
130 |
119 |
$10K |
| E2601 |
Gen w/c cushion wdth < 22 in |
437 |
411 |
$9K |
| E0445 |
Oximeter non-invasive |
60 |
52 |
$9K |
| A4624 |
Tracheal suction tube |
138 |
78 |
$9K |
| E0185 |
Gel pressure mattress pad |
93 |
69 |
$6K |
| A7526 |
Tracheostomy tube collar |
639 |
400 |
$6K |
| E0277 |
Powered pres-redu air mattrs |
44 |
24 |
$6K |
| A7520 |
Trach/laryn tube non-cuffed |
227 |
151 |
$6K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
639 |
489 |
$6K |
| E0156 |
Walker seat attachment |
711 |
607 |
$5K |
| A6550 |
Neg pres wound ther drsg set |
45 |
24 |
$5K |
| E0961 |
Wheelchair brake extension |
263 |
229 |
$5K |
| A4604 |
Tubing with heating element |
593 |
508 |
$4K |
| A7038 |
Pos airway pressure filter |
1,507 |
1,195 |
$3K |
| E0303 |
Hosp bed hvy dty xtra wide |
32 |
24 |
$3K |
| E2202 |
Seat width 24-27 in |
112 |
88 |
$3K |
| E0165 |
Commode chair with detacharm |
132 |
119 |
$2K |
| E0910 |
Trapeze bar attached to bed |
283 |
267 |
$2K |
| A7003 |
Nebulizer administration set |
857 |
771 |
$1K |
| A7002 |
Tubing used w suction pump |
464 |
329 |
$1K |
| L8501 |
Tracheostomy speaking valve |
23 |
12 |
$900.81 |
| E0431 |
Portable gaseous 02 |
74 |
66 |
$751.75 |
| A7015 |
Aerosol mask used w nebulize |
566 |
514 |
$654.39 |
| E0181 |
Press pad alternating w/ pum |
79 |
75 |
$539.24 |
| E0565 |
Compressor air power source |
26 |
24 |
$483.49 |
| A7046 |
Repl water chamber, pap dev |
204 |
170 |
$458.07 |
| E0978 |
W/c acc,saf belt pelv strap |
40 |
30 |
$436.14 |
| A4628 |
Oropharyngeal suction cath |
103 |
75 |
$398.63 |
| E1038 |
Transport chair pt wt<=300lb |
73 |
62 |
$345.97 |
| A7013 |
Disposable compressor filter |
559 |
513 |
$255.50 |
| A7012 |
Nebulizer water collec devic |
49 |
26 |
$56.55 |
| A7525 |
Tracheostomy mask |
175 |
96 |
$38.98 |