| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
56,073 |
44,317 |
$2.70M |
| E0466 |
Home vent non-invasive inter |
4,769 |
3,407 |
$2.56M |
| T4526 |
Adult size pull-on med |
11,124 |
9,329 |
$900K |
| E0601 |
Cont airway pressure device |
25,026 |
19,073 |
$639K |
| E0430 |
Oxygen system gas portable |
17,247 |
14,397 |
$535K |
| E1170 |
Whlchr ampu fxd arm leg rest |
997 |
834 |
$484K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,126 |
1,669 |
$458K |
| T4535 |
Disposable liner/shield/pad |
9,630 |
7,377 |
$455K |
| E0143 |
Walker folding wheeled w/o s |
7,141 |
5,933 |
$394K |
| E1260 |
Wheelchair lightwt foot rest |
532 |
461 |
$337K |
| E0562 |
Humidifier heated used w pap |
2,488 |
1,955 |
$301K |
| E0470 |
Rad w/o backup non-inv intfc |
4,854 |
3,606 |
$282K |
| E0240 |
Bath/shower chair |
1,010 |
821 |
$280K |
| E0261 |
Hosp bed semi-electr w/o mat |
10,663 |
8,526 |
$198K |
| E0163 |
Commode chair with fixed arm |
3,977 |
3,390 |
$158K |
| T4528 |
Adult size pull-on xl |
1,598 |
1,423 |
$154K |
| E0570 |
Nebulizer with compression |
9,648 |
8,440 |
$138K |
| K0823 |
Pwc gp 2 std cap chair |
2,408 |
1,711 |
$129K |
| K0002 |
Stnd hemi (low seat) whlchr |
9,093 |
7,462 |
$120K |
| E1090 |
Wheelchair lightweight det a |
154 |
137 |
$108K |
| E2601 |
Gen w/c cushion wdth < 22 in |
2,119 |
1,679 |
$107K |
| E0247 |
Trans bench w/wo comm open |
1,009 |
891 |
$102K |
| A4554 |
Disposable underpads |
3,039 |
2,697 |
$100K |
| A7030 |
Cpap full face mask |
4,553 |
3,276 |
$99K |
| E0248 |
Hdtrans bench w/wo comm open |
601 |
512 |
$99K |
| E0168 |
Heavyduty/wide commode chair |
690 |
585 |
$99K |
| E0971 |
Wheelchair anti-tipping devi |
6,140 |
3,260 |
$95K |
| K0003 |
Lightweight wheelchair |
5,645 |
4,625 |
$82K |
| E0630 |
Patient lift hydraulic |
3,213 |
2,624 |
$81K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
3,295 |
2,538 |
$71K |
| B4161 |
Ef ped hydrolyzed/amino acid |
495 |
372 |
$69K |
| A4927 |
Non-sterile gloves |
7,143 |
5,763 |
$66K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,059 |
761 |
$64K |
| E0431 |
Portable gaseous 02 |
22,015 |
20,778 |
$55K |
| E0184 |
Dry pressure mattress |
1,647 |
1,225 |
$54K |
| B4152 |
Ef calorie dense>/=1.5kcal |
936 |
667 |
$52K |
| K0007 |
Extra heavy duty wheelchair |
2,162 |
1,672 |
$50K |
| B4100 |
Food thickener oral |
452 |
374 |
$48K |
| K0006 |
Heavy duty wheelchair |
2,056 |
1,664 |
$44K |
| E0149 |
Heavy duty wheeled walker |
2,536 |
2,168 |
$44K |
| K0001 |
Standard wheelchair |
7,340 |
5,827 |
$43K |
| E0245 |
Tub stool or bench |
580 |
515 |
$40K |
| A7031 |
Replacement facemask interfa |
6,220 |
3,489 |
$39K |
| B4035 |
Enteral feed supp pump per d |
1,474 |
1,104 |
$37K |
| A7034 |
Nasal application device |
2,474 |
1,787 |
$36K |
| L4360 |
Pneumat walking boot pre cst |
213 |
159 |
$31K |
| B9998 |
Enteral supp not otherwise c |
915 |
699 |
$30K |
| E0277 |
Powered pres-redu air mattrs |
483 |
360 |
$30K |
| E2611 |
Gen use back cush wdth <22in |
842 |
651 |
$28K |
| E0951 |
Loop heel |
8,212 |
4,275 |
$28K |
| E0973 |
W/ch access det adj armrest |
1,693 |
920 |
$27K |
| B4150 |
Ef complet w/intact nutrient |
383 |
277 |
$24K |
| A7037 |
Pos airway pressure tubing |
5,371 |
3,894 |
$23K |
| E0156 |
Walker seat attachment |
3,069 |
2,517 |
$22K |
| E0303 |
Hosp bed hvy dty xtra wide |
357 |
255 |
$20K |
| A7032 |
Replacement nasal cushion |
2,075 |
1,153 |
$19K |
| E0910 |
Trapeze bar attached to bed |
2,887 |
2,385 |
$16K |
| E0443 |
Portable 02 contents, gas |
1,299 |
1,202 |
$16K |
| E2402 |
Neg press wound therapy pump |
62 |
44 |
$16K |
| L1820 |
Ko elas w/ condyle pads & jo |
249 |
165 |
$15K |
| A7038 |
Pos airway pressure filter |
6,303 |
4,572 |
$14K |
| A7035 |
Pos airway press headgear |
6,781 |
5,000 |
$14K |
| B4149 |
Ef blenderized foods |
118 |
94 |
$13K |
| E0246 |
Transfer tub rail attachment |
179 |
149 |
$10K |
| E0241 |
Bath tub wall rail |
306 |
247 |
$10K |
| A4604 |
Tubing with heating element |
1,260 |
907 |
$9K |
| B4087 |
Gastro/jejuno tube, std |
403 |
261 |
$8K |
| E0114 |
Crutch underarm pair no wood |
179 |
136 |
$6K |
| B4034 |
Enter feed supkit syr by day |
545 |
409 |
$6K |
| A7046 |
Repl water chamber, pap dev |
2,419 |
1,722 |
$5K |
| K0195 |
Elevating whlchair leg rests |
2,786 |
2,172 |
$5K |
| B4155 |
Ef incomplete/modular |
364 |
290 |
$5K |
| L3908 |
Who cock-up nonmolde pre ots |
106 |
76 |
$4K |
| E1392 |
Portable oxygen concentrator |
941 |
792 |
$4K |
| E0105 |
Cane adjust/fixed quad/3 pro |
98 |
83 |
$3K |
| A7039 |
Filter, non disposable w pap |
1,075 |
783 |
$2K |
| A7033 |
Replacement nasal pillows |
345 |
177 |
$2K |
| E0141 |
Rigid wheeled walker adj/fix |
95 |
85 |
$2K |
| B9002 |
Enter nutr inf pump any type |
237 |
167 |
$875.87 |
| E0990 |
Wheelchair elevating leg res |
15 |
12 |
$776.65 |
| A4322 |
Irrigation syringe |
104 |
87 |
$628.86 |
| A7005 |
Nondisposable nebulizer set |
268 |
208 |
$593.61 |
| A7003 |
Nebulizer administration set |
1,619 |
1,347 |
$473.81 |
| A7000 |
Disposable canister for pump |
21 |
12 |
$348.90 |
| E0165 |
Commode chair with detacharm |
58 |
52 |
$257.47 |
| K0739 |
Repair/svc dme non-oxygen eq |
17 |
13 |
$186.77 |
| E0305 |
Rails bed side half length |
16 |
15 |
$18.00 |
| A7013 |
Disposable compressor filter |
30 |
24 |
$4.76 |