| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
4,769 |
4,394 |
$2.08M |
| E1390 |
Oxygen concentrator |
30,093 |
27,249 |
$1.22M |
| E0601 |
Cont airway pressure device |
11,706 |
10,725 |
$417K |
| E0431 |
Portable gaseous 02 |
18,312 |
16,681 |
$257K |
| E0562 |
Humidifier heated used w pap |
2,981 |
2,674 |
$209K |
| E0470 |
Rad w/o backup non-inv intfc |
1,637 |
1,453 |
$149K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,564 |
3,817 |
$147K |
| A7030 |
Cpap full face mask |
3,061 |
2,817 |
$142K |
| K0001 |
Standard wheelchair |
5,175 |
4,592 |
$98K |
| A7034 |
Nasal application device |
3,098 |
2,799 |
$76K |
| A7035 |
Pos airway press headgear |
4,789 |
4,387 |
$67K |
| E0570 |
Nebulizer with compression |
3,615 |
3,249 |
$49K |
| A4604 |
Tubing with heating element |
2,422 |
2,179 |
$46K |
| A7031 |
Replacement facemask interfa |
2,124 |
1,901 |
$45K |
| A7037 |
Pos airway pressure tubing |
3,332 |
3,090 |
$36K |
| K0003 |
Lightweight wheelchair |
723 |
678 |
$28K |
| A7032 |
Replacement nasal cushion |
1,066 |
943 |
$24K |
| E0143 |
Walker folding wheeled w/o s |
913 |
830 |
$21K |
| E1392 |
Portable oxygen concentrator |
969 |
888 |
$19K |
| E0250 |
Hosp bed fixed ht w/ mattres |
985 |
785 |
$19K |
| A7038 |
Pos airway pressure filter |
7,457 |
6,764 |
$18K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
678 |
586 |
$17K |
| K0006 |
Heavy duty wheelchair |
408 |
337 |
$17K |
| K0002 |
Stnd hemi (low seat) whlchr |
839 |
721 |
$16K |
| E0114 |
Crutch underarm pair no wood |
1,023 |
1,001 |
$16K |
| E0973 |
W/ch access det adj armrest |
2,739 |
1,213 |
$15K |
| A7039 |
Filter, non disposable w pap |
2,799 |
2,581 |
$15K |
| L4360 |
Pneumat walking boot pre cst |
117 |
114 |
$13K |
| E0630 |
Patient lift hydraulic |
315 |
253 |
$10K |
| K0195 |
Elevating whlchair leg rests |
677 |
610 |
$7K |
| E0971 |
Wheelchair anti-tipping devi |
2,184 |
998 |
$7K |
| A7033 |
Replacement nasal pillows |
378 |
327 |
$6K |
| A7005 |
Nondisposable nebulizer set |
529 |
497 |
$5K |
| L3670 |
So acro/clav can web pre ots |
100 |
95 |
$4K |
| L4361 |
Pneuma/vac walk boot pre ots |
30 |
26 |
$3K |
| E0961 |
Wheelchair brake extension |
1,711 |
790 |
$3K |
| E0951 |
Loop heel |
2,579 |
1,146 |
$3K |
| E0978 |
W/c acc,saf belt pelv strap |
877 |
795 |
$2K |
| A7046 |
Repl water chamber, pap dev |
960 |
844 |
$2K |
| E0303 |
Hosp bed hvy dty xtra wide |
29 |
25 |
$2K |
| E0185 |
Gel pressure mattress pad |
63 |
52 |
$2K |
| L1906 |
Afo multilig ank sup pre ots |
41 |
37 |
$2K |
| E2611 |
Gen use back cush wdth <22in |
14 |
12 |
$2K |
| E0163 |
Commode chair with fixed arm |
76 |
64 |
$1K |
| E0990 |
Wheelchair elevating leg res |
41 |
41 |
$1K |
| E0149 |
Heavy duty wheeled walker |
194 |
164 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
50 |
37 |
$1K |
| L4350 |
Ankle control ortho pre ots |
26 |
25 |
$952.17 |
| E2601 |
Gen w/c cushion wdth < 22 in |
47 |
39 |
$800.92 |
| E0565 |
Compressor air power source |
25 |
25 |
$762.82 |
| E0600 |
Suction pump portab hom modl |
15 |
14 |
$638.61 |
| A7003 |
Nebulizer administration set |
669 |
610 |
$366.31 |
| E0165 |
Commode chair with detacharm |
47 |
37 |
$312.74 |
| E0156 |
Walker seat attachment |
56 |
51 |
$311.67 |
| E1038 |
Transport chair pt wt<=300lb |
48 |
38 |
$186.53 |