| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
54,262 |
47,515 |
$2.93M |
| E0431 |
Portable gaseous 02 |
16,957 |
14,216 |
$181K |
| E1392 |
Portable oxygen concentrator |
10,650 |
7,721 |
$170K |
| K0001 |
Standard wheelchair |
5,005 |
4,479 |
$68K |
| E0143 |
Walker folding wheeled w/o s |
3,116 |
2,738 |
$65K |
| A7030 |
Cpap full face mask |
1,115 |
886 |
$63K |
| E0601 |
Cont airway pressure device |
2,555 |
2,029 |
$63K |
| E0247 |
Trans bench w/wo comm open |
797 |
650 |
$55K |
| A7031 |
Replacement facemask interfa |
1,207 |
945 |
$43K |
| E0562 |
Humidifier heated used w pap |
299 |
209 |
$32K |
| E2601 |
Gen w/c cushion wdth < 22 in |
660 |
538 |
$28K |
| E0245 |
Tub stool or bench |
722 |
536 |
$22K |
| A7034 |
Nasal application device |
775 |
648 |
$22K |
| A7035 |
Pos airway press headgear |
1,508 |
1,215 |
$20K |
| A7037 |
Pos airway pressure tubing |
1,036 |
871 |
$18K |
| K0006 |
Heavy duty wheelchair |
601 |
471 |
$18K |
| E0570 |
Nebulizer with compression |
1,494 |
1,237 |
$16K |
| A7038 |
Pos airway pressure filter |
3,601 |
2,867 |
$15K |
| E2611 |
Gen use back cush wdth <22in |
85 |
72 |
$14K |
| A4604 |
Tubing with heating element |
869 |
652 |
$13K |
| E0163 |
Commode chair with fixed arm |
493 |
434 |
$13K |
| A7032 |
Replacement nasal cushion |
376 |
322 |
$9K |
| K0195 |
Elevating whlchair leg rests |
2,142 |
1,869 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
560 |
508 |
$8K |
| A7046 |
Repl water chamber, pap dev |
951 |
804 |
$8K |
| E0156 |
Walker seat attachment |
761 |
498 |
$7K |
| K0003 |
Lightweight wheelchair |
509 |
369 |
$6K |
| A4554 |
Disposable underpads |
172 |
132 |
$6K |
| E0165 |
Commode chair with detacharm |
323 |
285 |
$6K |
| A7039 |
Filter, non disposable w pap |
963 |
824 |
$5K |
| E0971 |
Wheelchair anti-tipping devi |
410 |
182 |
$5K |
| T4535 |
Disposable liner/shield/pad |
89 |
80 |
$4K |
| E0244 |
Toilet seat raised |
252 |
161 |
$4K |
| E0149 |
Heavy duty wheeled walker |
58 |
52 |
$4K |
| E0630 |
Patient lift hydraulic |
210 |
188 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
42 |
38 |
$2K |
| A7005 |
Nondisposable nebulizer set |
124 |
67 |
$2K |
| E0961 |
Wheelchair brake extension |
181 |
86 |
$795.95 |
| A4927 |
Non-sterile gloves |
51 |
49 |
$678.48 |
| E0470 |
Rad w/o backup non-inv intfc |
13 |
12 |
$529.98 |
| A7033 |
Replacement nasal pillows |
43 |
39 |
$509.58 |
| E0105 |
Cane adjust/fixed quad/3 pro |
14 |
12 |
$471.96 |
| E0181 |
Press pad alternating w/ pum |
105 |
95 |
$273.33 |
| E0241 |
Bath tub wall rail |
24 |
12 |
$233.94 |
| E0443 |
Portable 02 contents, gas |
24 |
24 |
$218.41 |
| S8120 |
O2 contents gas cubic ft |
522 |
370 |
$0.00 |