| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,093 |
7,317 |
$451K |
| E0294 |
Hosp bed semi-elect w/ mattr |
4,501 |
4,410 |
$121K |
| T4527 |
Adult size pull-on lg |
933 |
893 |
$85K |
| K0001 |
Standard wheelchair |
7,648 |
7,045 |
$84K |
| E0630 |
Patient lift hydraulic |
3,298 |
2,905 |
$72K |
| E0601 |
Cont airway pressure device |
1,618 |
1,483 |
$71K |
| E0431 |
Portable gaseous 02 |
5,250 |
4,715 |
$57K |
| T4535 |
Disposable liner/shield/pad |
1,309 |
1,223 |
$49K |
| T4541 |
Large disposable underpad |
1,201 |
1,160 |
$43K |
| E0143 |
Walker folding wheeled w/o s |
1,304 |
1,212 |
$38K |
| A4927 |
Non-sterile gloves |
3,461 |
2,967 |
$37K |
| E0600 |
Suction pump portab hom modl |
1,259 |
1,029 |
$29K |
| A7034 |
Nasal application device |
582 |
534 |
$28K |
| E1392 |
Portable oxygen concentrator |
1,524 |
1,428 |
$28K |
| A4604 |
Tubing with heating element |
866 |
796 |
$25K |
| A7030 |
Cpap full face mask |
325 |
305 |
$25K |
| A7035 |
Pos airway press headgear |
1,368 |
1,256 |
$25K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,164 |
2,152 |
$24K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
1,798 |
1,324 |
$19K |
| E0570 |
Nebulizer with compression |
1,671 |
1,471 |
$15K |
| A7038 |
Pos airway pressure filter |
2,256 |
2,084 |
$13K |
| A4217 |
Sterile water/saline, 500 ml |
212 |
167 |
$12K |
| E0562 |
Humidifier heated used w pap |
230 |
219 |
$11K |
| E0181 |
Press pad alternating w/ pum |
1,464 |
1,284 |
$10K |
| E1028 |
W/c manual swingaway |
795 |
566 |
$9K |
| E0156 |
Walker seat attachment |
887 |
828 |
$8K |
| T4526 |
Adult size pull-on med |
108 |
101 |
$8K |
| E1161 |
Manual adult wc w tiltinspac |
25 |
24 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
82 |
64 |
$7K |
| A7000 |
Disposable canister for pump |
518 |
486 |
$7K |
| T4537 |
Reusable underpad bed size |
156 |
152 |
$6K |
| A7046 |
Repl water chamber, pap dev |
625 |
573 |
$5K |
| A7526 |
Tracheostomy tube collar |
102 |
79 |
$5K |
| K0195 |
Elevating whlchair leg rests |
676 |
623 |
$5K |
| A7031 |
Replacement facemask interfa |
108 |
103 |
$3K |
| A7002 |
Tubing used w suction pump |
522 |
402 |
$3K |
| A7037 |
Pos airway pressure tubing |
203 |
190 |
$3K |
| T4528 |
Adult size pull-on xl |
26 |
25 |
$2K |
| A7032 |
Replacement nasal cushion |
83 |
76 |
$2K |
| A4624 |
Tracheal suction tube |
16 |
13 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
27 |
24 |
$2K |
| A4623 |
Tracheostomy inner cannula |
13 |
12 |
$1K |
| E0955 |
Cushioned headrest |
114 |
109 |
$1K |
| A4629 |
Tracheostomy care kit |
18 |
12 |
$1K |
| A4628 |
Oropharyngeal suction cath |
167 |
128 |
$613.11 |
| E0971 |
Wheelchair anti-tipping devi |
23 |
12 |
$64.33 |
| A7003 |
Nebulizer administration set |
25 |
24 |
$33.79 |