| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
36,965 |
35,782 |
$2.42M |
| E0601 |
Cont airway pressure device |
21,677 |
21,397 |
$1.27M |
| A7030 |
Cpap full face mask |
12,915 |
12,726 |
$1.15M |
| E0466 |
Home vent non-invasive inter |
2,427 |
2,372 |
$1.10M |
| A7031 |
Replacement facemask interfa |
27,266 |
26,620 |
$1.09M |
| A4604 |
Tubing with heating element |
16,348 |
16,090 |
$491K |
| E0260 |
Hosp bed semi-electr w/ matt |
13,016 |
12,734 |
$488K |
| A7032 |
Replacement nasal cushion |
10,327 |
10,087 |
$470K |
| E0465 |
Home vent invasive interface |
699 |
637 |
$459K |
| E0562 |
Humidifier heated used w pap |
2,977 |
2,936 |
$419K |
| A7034 |
Nasal application device |
7,620 |
7,516 |
$402K |
| E0470 |
Rad w/o backup non-inv intfc |
3,317 |
3,259 |
$318K |
| E0431 |
Portable gaseous 02 |
20,445 |
19,941 |
$263K |
| A7038 |
Pos airway pressure filter |
43,366 |
42,286 |
$208K |
| K0001 |
Standard wheelchair |
11,447 |
11,161 |
$206K |
| A7033 |
Replacement nasal pillows |
5,705 |
5,567 |
$181K |
| A7035 |
Pos airway press headgear |
10,628 |
10,495 |
$173K |
| E0570 |
Nebulizer with compression |
8,769 |
8,513 |
$171K |
| E0603 |
Electric breast pump |
620 |
585 |
$141K |
| E0143 |
Walker folding wheeled w/o s |
3,545 |
3,444 |
$120K |
| K0003 |
Lightweight wheelchair |
4,687 |
4,579 |
$100K |
| E2611 |
Gen use back cush wdth <22in |
1,117 |
1,063 |
$98K |
| A4623 |
Tracheostomy inner cannula |
752 |
715 |
$95K |
| E0630 |
Patient lift hydraulic |
3,507 |
3,410 |
$86K |
| A7046 |
Repl water chamber, pap dev |
8,908 |
8,793 |
$80K |
| E0303 |
Hosp bed hvy dty xtra wide |
686 |
668 |
$67K |
| A7037 |
Pos airway pressure tubing |
3,563 |
3,539 |
$66K |
| E0471 |
Rad w/backup non inv intrfc |
250 |
249 |
$62K |
| E0185 |
Gel pressure mattress pad |
931 |
896 |
$61K |
| K0007 |
Extra heavy duty wheelchair |
809 |
786 |
$61K |
| E1392 |
Portable oxygen concentrator |
4,799 |
4,671 |
$57K |
| E0163 |
Commode chair with fixed arm |
1,918 |
1,843 |
$50K |
| K0738 |
Portable gas oxygen system |
2,895 |
2,835 |
$46K |
| K0006 |
Heavy duty wheelchair |
1,398 |
1,364 |
$45K |
| E0600 |
Suction pump portab hom modl |
1,505 |
1,470 |
$42K |
| E0971 |
Wheelchair anti-tipping devi |
1,415 |
1,352 |
$41K |
| E0265 |
Hosp bed total electr w/ mat |
378 |
377 |
$38K |
| E0973 |
W/ch access det adj armrest |
770 |
725 |
$36K |
| E0240 |
Bath/shower chair |
980 |
960 |
$33K |
| A7039 |
Filter, non disposable w pap |
5,190 |
5,096 |
$31K |
| K0195 |
Elevating whlchair leg rests |
6,386 |
6,184 |
$30K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,466 |
1,387 |
$29K |
| B4035 |
Enteral feed supp pump per d |
154 |
137 |
$24K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
202 |
194 |
$19K |
| E0277 |
Powered pres-redu air mattrs |
507 |
488 |
$18K |
| K0004 |
High strength ltwt whlchr |
473 |
462 |
$18K |
| E0565 |
Compressor air power source |
578 |
555 |
$16K |
| E0961 |
Wheelchair brake extension |
990 |
928 |
$16K |
| A7526 |
Tracheostomy tube collar |
472 |
449 |
$14K |
| E0149 |
Heavy duty wheeled walker |
902 |
871 |
$13K |
| B4152 |
Ef calorie dense>/=1.5kcal |
151 |
146 |
$11K |
| A4624 |
Tracheal suction tube |
126 |
115 |
$11K |
| E0445 |
Oximeter non-invasive |
232 |
226 |
$8K |
| E0165 |
Commode chair with detacharm |
1,278 |
1,241 |
$8K |
| A4629 |
Tracheostomy care kit |
205 |
194 |
$8K |
| E0156 |
Walker seat attachment |
1,055 |
1,032 |
$7K |
| T4535 |
Disposable liner/shield/pad |
103 |
88 |
$7K |
| E0271 |
Mattress innerspring |
439 |
424 |
$7K |
| E1038 |
Transport chair pt wt<=300lb |
1,517 |
1,481 |
$7K |
| A7005 |
Nondisposable nebulizer set |
380 |
373 |
$6K |
| E1028 |
W/c manual swingaway |
13 |
13 |
$5K |
| A7036 |
Pos airway press chinstrap |
724 |
713 |
$5K |
| E0114 |
Crutch underarm pair no wood |
156 |
153 |
$5K |
| A4606 |
Oxygen probe used w oximeter |
42 |
41 |
$5K |
| L4361 |
Pneuma/vac walk boot pre ots |
25 |
25 |
$5K |
| A7000 |
Disposable canister for pump |
502 |
471 |
$5K |
| B9002 |
Enter nutr inf pump any type |
111 |
111 |
$5K |
| T4524 |
Adult size brief/diaper xl |
36 |
31 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
75 |
73 |
$4K |
| E0951 |
Loop heel |
229 |
218 |
$3K |
| E0247 |
Trans bench w/wo comm open |
43 |
41 |
$3K |
| A4628 |
Oropharyngeal suction cath |
213 |
194 |
$3K |
| E0181 |
Press pad alternating w/ pum |
407 |
387 |
$3K |
| T4522 |
Adult size brief/diaper med |
25 |
25 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
40 |
39 |
$3K |
| A4927 |
Non-sterile gloves |
122 |
110 |
$2K |
| B4034 |
Enter feed supkit syr by day |
39 |
36 |
$2K |
| A7002 |
Tubing used w suction pump |
505 |
473 |
$2K |
| T4526 |
Adult size pull-on med |
13 |
12 |
$2K |
| A7520 |
Trach/laryn tube non-cuffed |
52 |
51 |
$2K |
| E0776 |
Iv pole |
231 |
231 |
$2K |
| E0168 |
Heavyduty/wide commode chair |
41 |
39 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
41 |
37 |
$1K |
| T4541 |
Large disposable underpad |
61 |
53 |
$1K |
| E0955 |
Cushioned headrest |
13 |
13 |
$1K |
| E1020 |
Residual limb support system |
115 |
114 |
$932.61 |
| A4216 |
Sterile water/saline, 10 ml |
57 |
53 |
$501.60 |
| K0052 |
Swingaway detach ftrest repl |
14 |
13 |
$221.30 |
| K0002 |
Stnd hemi (low seat) whlchr |
12 |
12 |
$154.77 |
| A4554 |
Disposable underpads |
12 |
12 |
$136.50 |
| A7013 |
Disposable compressor filter |
177 |
173 |
$92.15 |
| A7015 |
Aerosol mask used w nebulize |
109 |
105 |
$88.30 |
| A7525 |
Tracheostomy mask |
42 |
40 |
$0.00 |