| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
59,696 |
52,450 |
$4.05M |
| E0431 |
Portable gaseous 02 |
46,992 |
41,421 |
$1.18M |
| E0601 |
Cont airway pressure device |
13,609 |
12,193 |
$736K |
| S9500 |
Hit antibiotic q24h diem |
1,407 |
457 |
$642K |
| K0001 |
Standard wheelchair |
12,701 |
10,754 |
$442K |
| E0603 |
Electric breast pump |
2,195 |
2,097 |
$381K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,509 |
6,253 |
$367K |
| E0562 |
Humidifier heated used w pap |
4,670 |
4,052 |
$235K |
| E0143 |
Walker folding wheeled w/o s |
4,818 |
4,556 |
$189K |
| E0470 |
Rad w/o backup non-inv intfc |
1,204 |
1,052 |
$148K |
| A7034 |
Nasal application device |
2,962 |
2,710 |
$137K |
| A4604 |
Tubing with heating element |
3,673 |
3,364 |
$133K |
| A7030 |
Cpap full face mask |
1,658 |
1,500 |
$127K |
| K0195 |
Elevating whlchair leg rests |
6,537 |
5,167 |
$108K |
| E0570 |
Nebulizer with compression |
5,936 |
5,419 |
$107K |
| A7035 |
Pos airway press headgear |
4,423 |
4,026 |
$105K |
| E0247 |
Trans bench w/wo comm open |
1,696 |
1,504 |
$98K |
| K0003 |
Lightweight wheelchair |
1,650 |
1,330 |
$97K |
| K0007 |
Extra heavy duty wheelchair |
585 |
520 |
$73K |
| K0006 |
Heavy duty wheelchair |
959 |
827 |
$72K |
| E0163 |
Commode chair with fixed arm |
1,578 |
1,411 |
$57K |
| B4150 |
Ef complet w/intact nutrient |
524 |
350 |
$56K |
| E0245 |
Tub stool or bench |
1,449 |
1,297 |
$53K |
| V5160 |
Dispensing fee binaural |
233 |
172 |
$49K |
| A4221 |
Supp non-insulin inf cath/wk |
2,442 |
1,091 |
$40K |
| K0738 |
Portable gas oxygen system |
612 |
577 |
$37K |
| S9340 |
Hit enteral per diem |
45 |
37 |
$37K |
| A7038 |
Pos airway pressure filter |
9,752 |
8,874 |
$36K |
| L4360 |
Pneumat walking boot pre cst |
240 |
222 |
$31K |
| A4222 |
Infusion supplies with pump |
189 |
81 |
$30K |
| E1392 |
Portable oxygen concentrator |
1,566 |
1,433 |
$26K |
| E0114 |
Crutch underarm pair no wood |
1,193 |
1,118 |
$25K |
| A7005 |
Nondisposable nebulizer set |
1,779 |
1,633 |
$23K |
| V5261 |
Hearing aid, digit, bin, bte |
18 |
13 |
$20K |
| A4223 |
Infusion supplies w/o pump |
317 |
125 |
$20K |
| K0002 |
Stnd hemi (low seat) whlchr |
294 |
215 |
$19K |
| E0971 |
Wheelchair anti-tipping devi |
4,505 |
2,082 |
$17K |
| J0878 |
Daptomycin injection |
190 |
13 |
$17K |
| E0244 |
Toilet seat raised |
443 |
402 |
$14K |
| K0052 |
Swingaway detach ftrest repl |
1,786 |
1,642 |
$11K |
| A7037 |
Pos airway pressure tubing |
404 |
360 |
$9K |
| E0156 |
Walker seat attachment |
806 |
757 |
$8K |
| A7046 |
Repl water chamber, pap dev |
1,611 |
1,469 |
$7K |
| A7039 |
Filter, non disposable w pap |
584 |
536 |
$6K |
| L1810 |
Ko elastic with joints |
108 |
91 |
$6K |
| B4152 |
Ef calorie dense>/=1.5kcal |
26 |
25 |
$5K |
| E2601 |
Gen w/c cushion wdth < 22 in |
75 |
63 |
$3K |
| A7031 |
Replacement facemask interfa |
77 |
73 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
62 |
50 |
$2K |
| A4305 |
Drug delivery system >=50 ml |
94 |
25 |
$2K |
| E0184 |
Dry pressure mattress |
78 |
69 |
$2K |
| B4035 |
Enteral feed supp pump per d |
40 |
13 |
$1K |
| E0100 |
Cane adjust/fixed with tip |
174 |
160 |
$1K |
| E0961 |
Wheelchair brake extension |
190 |
110 |
$1K |
| E0776 |
Iv pole |
30 |
25 |
$1K |
| L8000 |
Mastectomy bra |
47 |
38 |
$1K |
| E0600 |
Suction pump portab hom modl |
30 |
24 |
$763.12 |
| E0305 |
Rails bed side half length |
80 |
72 |
$712.35 |
| L3670 |
So acro/clav can web pre ots |
16 |
13 |
$538.68 |
| A7004 |
Disposable nebulizer sml vol |
1,133 |
1,030 |
$505.01 |
| A7032 |
Replacement nasal cushion |
13 |
13 |
$211.51 |
| A4565 |
Slings |
12 |
12 |
$69.30 |