| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
92,192 |
88,927 |
$4.82M |
| E0601 |
Cont airway pressure device |
65,260 |
63,252 |
$2.19M |
| E0466 |
Home vent non-invasive inter |
3,963 |
3,837 |
$1.98M |
| A7030 |
Cpap full face mask |
38,511 |
37,147 |
$1.89M |
| E0603 |
Electric breast pump |
10,966 |
10,422 |
$1.75M |
| A7031 |
Replacement facemask interfa |
60,103 |
57,715 |
$1.29M |
| A4604 |
Tubing with heating element |
63,173 |
60,923 |
$1.22M |
| A7034 |
Nasal application device |
30,521 |
29,492 |
$1.08M |
| E0260 |
Hosp bed semi-electr w/ matt |
33,865 |
32,828 |
$939K |
| E0562 |
Humidifier heated used w pap |
10,473 |
10,134 |
$904K |
| A7032 |
Replacement nasal cushion |
35,860 |
34,318 |
$893K |
| E0465 |
Home vent invasive interface |
644 |
571 |
$675K |
| E0470 |
Rad w/o backup non-inv intfc |
10,381 |
9,967 |
$557K |
| E0431 |
Portable gaseous 02 |
61,306 |
59,130 |
$502K |
| A7038 |
Pos airway pressure filter |
139,379 |
132,777 |
$482K |
| A7035 |
Pos airway press headgear |
43,104 |
41,597 |
$471K |
| E0143 |
Walker folding wheeled w/o s |
13,658 |
13,064 |
$456K |
| E0565 |
Compressor air power source |
1,395 |
1,352 |
$417K |
| B4035 |
Enteral feed supp pump per d |
4,453 |
4,062 |
$393K |
| A7033 |
Replacement nasal pillows |
20,238 |
19,277 |
$361K |
| E0570 |
Nebulizer with compression |
21,817 |
20,943 |
$354K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,093 |
3,793 |
$310K |
| E2611 |
Gen use back cush wdth <22in |
3,247 |
3,093 |
$300K |
| K0003 |
Lightweight wheelchair |
14,181 |
13,715 |
$266K |
| E0163 |
Commode chair with fixed arm |
8,610 |
8,253 |
$212K |
| K0001 |
Standard wheelchair |
18,166 |
17,493 |
$212K |
| A7046 |
Repl water chamber, pap dev |
33,261 |
32,214 |
$201K |
| E0185 |
Gel pressure mattress pad |
3,299 |
3,090 |
$177K |
| E0471 |
Rad w/backup non inv intrfc |
1,381 |
1,358 |
$144K |
| E1392 |
Portable oxygen concentrator |
14,342 |
13,897 |
$110K |
| K0004 |
High strength ltwt whlchr |
3,449 |
3,328 |
$106K |
| E0971 |
Wheelchair anti-tipping devi |
4,903 |
4,015 |
$104K |
| E0973 |
W/ch access det adj armrest |
3,657 |
2,799 |
$103K |
| B4150 |
Ef complet w/intact nutrient |
1,588 |
1,455 |
$103K |
| E0630 |
Patient lift hydraulic |
7,993 |
7,718 |
$102K |
| A7039 |
Filter, non disposable w pap |
22,744 |
22,003 |
$102K |
| E0303 |
Hosp bed hvy dty xtra wide |
1,399 |
1,354 |
$101K |
| B4154 |
Ef spec metabolic noninherit |
763 |
689 |
$95K |
| A4623 |
Tracheostomy inner cannula |
1,695 |
1,573 |
$92K |
| B4034 |
Enter feed supkit syr by day |
2,041 |
1,912 |
$92K |
| K0007 |
Extra heavy duty wheelchair |
2,038 |
1,970 |
$87K |
| E2601 |
Gen w/c cushion wdth < 22 in |
3,964 |
3,740 |
$78K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
1,013 |
950 |
$75K |
| K0006 |
Heavy duty wheelchair |
2,760 |
2,663 |
$74K |
| E0247 |
Trans bench w/wo comm open |
1,219 |
1,175 |
$72K |
| A7037 |
Pos airway pressure tubing |
6,412 |
6,172 |
$65K |
| E0265 |
Hosp bed total electr w/ mat |
1,486 |
1,365 |
$63K |
| E0240 |
Bath/shower chair |
2,632 |
2,514 |
$62K |
| E0277 |
Powered pres-redu air mattrs |
1,605 |
1,516 |
$59K |
| B9002 |
Enter nutr inf pump any type |
2,395 |
2,303 |
$55K |
| A4624 |
Tracheal suction tube |
1,197 |
1,092 |
$53K |
| K0195 |
Elevating whlchair leg rests |
14,893 |
14,273 |
$52K |
| E0600 |
Suction pump portab hom modl |
3,280 |
3,129 |
$49K |
| E0149 |
Heavy duty wheeled walker |
1,391 |
1,310 |
$44K |
| A7005 |
Nondisposable nebulizer set |
2,684 |
2,588 |
$29K |
| E0961 |
Wheelchair brake extension |
2,589 |
2,051 |
$28K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,075 |
1,010 |
$28K |
| K0738 |
Portable gas oxygen system |
2,321 |
2,261 |
$27K |
| A4629 |
Tracheostomy care kit |
755 |
711 |
$24K |
| A4606 |
Oxygen probe used w oximeter |
137 |
133 |
$22K |
| A7036 |
Pos airway press chinstrap |
3,939 |
3,816 |
$21K |
| B4036 |
Enteral feed sup kit grav by |
411 |
376 |
$20K |
| E0165 |
Commode chair with detacharm |
2,678 |
2,591 |
$18K |
| E1038 |
Transport chair pt wt<=300lb |
4,043 |
3,913 |
$17K |
| E0168 |
Heavyduty/wide commode chair |
425 |
392 |
$16K |
| A7526 |
Tracheostomy tube collar |
1,322 |
1,235 |
$15K |
| L4361 |
Pneuma/vac walk boot pre ots |
93 |
91 |
$15K |
| E0156 |
Walker seat attachment |
2,582 |
2,485 |
$14K |
| E0951 |
Loop heel |
1,734 |
1,320 |
$12K |
| E0114 |
Crutch underarm pair no wood |
476 |
470 |
$12K |
| E0776 |
Iv pole |
2,829 |
2,749 |
$12K |
| E0181 |
Press pad alternating w/ pum |
2,039 |
1,954 |
$11K |
| E1226 |
Manual fully reclining back |
587 |
560 |
$11K |
| E0978 |
W/c acc,saf belt pelv strap |
836 |
782 |
$10K |
| A7520 |
Trach/laryn tube non-cuffed |
640 |
591 |
$10K |
| A4628 |
Oropharyngeal suction cath |
1,453 |
1,330 |
$10K |
| A7000 |
Disposable canister for pump |
2,107 |
1,908 |
$9K |
| B9998 |
Enteral supp not otherwise c |
198 |
176 |
$9K |
| E0301 |
Hd hosp bed, 350-600 lbs |
209 |
208 |
$8K |
| A4927 |
Non-sterile gloves |
587 |
535 |
$6K |
| A6402 |
Sterile gauze <= 16 sq in |
747 |
698 |
$5K |
| E1020 |
Residual limb support system |
375 |
307 |
$5K |
| E0271 |
Mattress innerspring |
381 |
346 |
$5K |
| A7010 |
Disposable corrugated tubing |
239 |
222 |
$4K |
| B4155 |
Ef incomplete/modular |
458 |
392 |
$4K |
| E0445 |
Oximeter non-invasive |
131 |
122 |
$4K |
| E0100 |
Cane adjust/fixed with tip |
426 |
410 |
$3K |
| E0910 |
Trapeze bar attached to bed |
697 |
675 |
$3K |
| A7002 |
Tubing used w suction pump |
1,711 |
1,570 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
257 |
240 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
83 |
72 |
$3K |
| A7507 |
Integrated filter & holder |
120 |
117 |
$2K |
| E0244 |
Toilet seat raised |
83 |
77 |
$2K |
| E2402 |
Neg press wound therapy pump |
12 |
12 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
408 |
392 |
$2K |
| E1035 |
Patient transfer system <300 |
274 |
253 |
$2K |
| A7007 |
Lg vol nebulizer disposable |
775 |
705 |
$1K |
| E0250 |
Hosp bed fixed ht w/ mattres |
61 |
61 |
$1K |
| K0002 |
Stnd hemi (low seat) whlchr |
51 |
49 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
2,039 |
1,948 |
$1K |
| A4627 |
Spacer bag/reservoir |
75 |
72 |
$881.19 |
| A7013 |
Disposable compressor filter |
2,565 |
2,464 |
$750.44 |
| A7012 |
Nebulizer water collec devic |
512 |
459 |
$663.46 |
| A7525 |
Tracheostomy mask |
628 |
589 |
$385.37 |
| K0823 |
Pwc gp 2 std cap chair |
12 |
12 |
$309.38 |
| E0705 |
Transfer device |
13 |
13 |
$259.42 |
| E1039 |
Transport chair pt wt >300lb |
13 |
13 |
$118.67 |
| B4087 |
Gastro/jejuno tube, std |
24 |
24 |
$105.25 |
| K0053 |
Elevate footrest articulate |
43 |
37 |
$88.84 |
| K0056 |
Seat ht <17 or >=21 ltwt wc |
13 |
12 |
$62.24 |