| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,342 |
4,071 |
$265K |
| E0601 |
Cont airway pressure device |
4,818 |
3,756 |
$193K |
| K0001 |
Standard wheelchair |
11,005 |
8,195 |
$128K |
| A7030 |
Cpap full face mask |
1,809 |
1,489 |
$122K |
| E0143 |
Walker folding wheeled w/o s |
2,640 |
2,226 |
$101K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,417 |
3,126 |
$88K |
| A7031 |
Replacement facemask interfa |
2,218 |
1,624 |
$52K |
| E0163 |
Commode chair with fixed arm |
1,295 |
1,071 |
$47K |
| E0470 |
Rad w/o backup non-inv intfc |
372 |
342 |
$45K |
| E0562 |
Humidifier heated used w pap |
318 |
269 |
$40K |
| K0195 |
Elevating whlchair leg rests |
5,098 |
3,902 |
$36K |
| A7034 |
Nasal application device |
922 |
765 |
$34K |
| E0630 |
Patient lift hydraulic |
1,419 |
1,053 |
$31K |
| A7035 |
Pos airway press headgear |
2,003 |
1,624 |
$30K |
| E0431 |
Portable gaseous 02 |
3,030 |
2,357 |
$27K |
| K0006 |
Heavy duty wheelchair |
785 |
593 |
$24K |
| E0570 |
Nebulizer with compression |
2,291 |
1,685 |
$21K |
| A4604 |
Tubing with heating element |
1,328 |
1,187 |
$19K |
| A7037 |
Pos airway pressure tubing |
1,136 |
871 |
$19K |
| E1226 |
Manual fully reclining back |
542 |
448 |
$15K |
| A7038 |
Pos airway pressure filter |
4,269 |
3,230 |
$14K |
| E0600 |
Suction pump portab hom modl |
601 |
454 |
$13K |
| K0738 |
Portable gas oxygen system |
926 |
650 |
$10K |
| A7032 |
Replacement nasal cushion |
514 |
382 |
$10K |
| E0445 |
Oximeter non-invasive |
64 |
54 |
$7K |
| A7046 |
Repl water chamber, pap dev |
818 |
723 |
$4K |
| E0156 |
Walker seat attachment |
499 |
437 |
$4K |
| E0971 |
Wheelchair anti-tipping devi |
673 |
401 |
$4K |
| E1392 |
Portable oxygen concentrator |
277 |
227 |
$4K |
| E0149 |
Heavy duty wheeled walker |
84 |
54 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
32 |
29 |
$3K |
| A7033 |
Replacement nasal pillows |
161 |
121 |
$3K |
| A4623 |
Tracheostomy inner cannula |
35 |
24 |
$2K |
| K0003 |
Lightweight wheelchair |
122 |
86 |
$2K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
421 |
241 |
$1K |
| E0165 |
Commode chair with detacharm |
81 |
64 |
$1K |
| E0978 |
W/c acc,saf belt pelv strap |
262 |
251 |
$1K |
| E0247 |
Trans bench w/wo comm open |
15 |
14 |
$993.83 |
| E2601 |
Gen w/c cushion wdth < 22 in |
74 |
61 |
$835.79 |
| E0240 |
Bath/shower chair |
12 |
12 |
$779.40 |
| A4554 |
Disposable underpads |
18 |
13 |
$765.00 |
| A7000 |
Disposable canister for pump |
70 |
50 |
$656.42 |
| S8120 |
O2 contents gas cubic ft |
41 |
25 |
$422.82 |
| E1038 |
Transport chair pt wt<=300lb |
27 |
24 |
$181.87 |
| E0181 |
Press pad alternating w/ pum |
14 |
12 |
$41.27 |
| A7015 |
Aerosol mask used w nebulize |
14 |
12 |
$11.29 |
| A7013 |
Disposable compressor filter |
15 |
14 |
$5.73 |