| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,350 |
9,343 |
$1.13M |
| E0601 |
Cont airway pressure device |
14,356 |
13,279 |
$848K |
| E0570 |
Nebulizer with compression |
6,133 |
5,659 |
$314K |
| E0562 |
Humidifier heated used w pap |
14,335 |
13,303 |
$306K |
| A7030 |
Cpap full face mask |
2,291 |
2,155 |
$250K |
| K0738 |
Portable gas oxygen system |
5,624 |
5,097 |
$193K |
| A7034 |
Nasal application device |
2,764 |
2,621 |
$189K |
| E0143 |
Walker folding wheeled w/o s |
2,003 |
1,888 |
$155K |
| A4604 |
Tubing with heating element |
4,229 |
3,995 |
$153K |
| E0603 |
Electric breast pump |
1,139 |
1,099 |
$129K |
| K0001 |
Standard wheelchair |
4,193 |
3,925 |
$121K |
| A4670 |
Automatic bp monitor, dial |
1,922 |
1,850 |
$121K |
| A7035 |
Pos airway press headgear |
4,380 |
4,136 |
$108K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,058 |
1,928 |
$99K |
| A7032 |
Replacement nasal cushion |
1,472 |
1,372 |
$81K |
| T4541 |
Large disposable underpad |
1,254 |
1,180 |
$74K |
| L0970 |
Tlso corset front |
726 |
695 |
$51K |
| A7033 |
Replacement nasal pillows |
1,317 |
1,222 |
$47K |
| A7038 |
Pos airway pressure filter |
5,638 |
5,262 |
$35K |
| A7046 |
Repl water chamber, pap dev |
2,588 |
2,410 |
$34K |
| A7031 |
Replacement facemask interfa |
914 |
848 |
$33K |
| E0730 |
Tens four lead |
1,213 |
1,113 |
$32K |
| A4409 |
Ost skn barr convex <=4 sq i |
616 |
567 |
$29K |
| A4385 |
Ost skn barrier sld ext wear |
344 |
334 |
$23K |
| T4526 |
Adult size pull-on med |
157 |
153 |
$21K |
| K0003 |
Lightweight wheelchair |
350 |
326 |
$20K |
| E1392 |
Portable oxygen concentrator |
1,049 |
966 |
$19K |
| T4525 |
Adult size pull-on sm |
174 |
166 |
$18K |
| E0431 |
Portable gaseous 02 |
685 |
638 |
$15K |
| A6530 |
Compression stocking bk18-30 |
314 |
291 |
$14K |
| E0114 |
Crutch underarm pair no wood |
385 |
379 |
$13K |
| T4527 |
Adult size pull-on lg |
101 |
90 |
$12K |
| T4528 |
Adult size pull-on xl |
74 |
68 |
$9K |
| E0630 |
Patient lift hydraulic |
150 |
149 |
$9K |
| A4927 |
Non-sterile gloves |
650 |
606 |
$8K |
| A4425 |
Ost pch drain for barrier fl |
134 |
128 |
$6K |
| E0245 |
Tub stool or bench |
132 |
131 |
$5K |
| E0971 |
Wheelchair anti-tipping devi |
721 |
687 |
$5K |
| L4361 |
Pneuma/vac walk boot pre ots |
31 |
25 |
$5K |
| A4452 |
Waterproof tape |
363 |
313 |
$5K |
| A7036 |
Pos airway press chinstrap |
475 |
437 |
$5K |
| A7003 |
Nebulizer administration set |
1,697 |
1,579 |
$4K |
| E0156 |
Walker seat attachment |
383 |
355 |
$4K |
| A4351 |
Straight tip urine catheter |
26 |
25 |
$3K |
| E0247 |
Trans bench w/wo comm open |
29 |
26 |
$3K |
| A7037 |
Pos airway pressure tubing |
108 |
101 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
13 |
13 |
$2K |
| T4535 |
Disposable liner/shield/pad |
53 |
48 |
$2K |
| E0163 |
Commode chair with fixed arm |
25 |
24 |
$2K |
| A7005 |
Nondisposable nebulizer set |
90 |
90 |
$2K |
| A6216 |
Non-sterile gauze<=16 sq in |
315 |
290 |
$1K |
| A6197 |
Alginate drsg >16 <=48 sq in |
12 |
12 |
$989.67 |
| K0195 |
Elevating whlchair leg rests |
340 |
331 |
$859.56 |
| A7015 |
Aerosol mask used w nebulize |
376 |
357 |
$526.10 |
| E0100 |
Cane adjust/fixed with tip |
17 |
12 |
$267.06 |
| A4565 |
Slings |
12 |
12 |
$76.45 |