| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
50,146 |
44,202 |
$5.23M |
| E0601 |
Cont airway pressure device |
25,052 |
22,310 |
$1.41M |
| A7030 |
Cpap full face mask |
11,506 |
10,285 |
$1.18M |
| E0570 |
Nebulizer with compression |
21,603 |
19,523 |
$752K |
| E0562 |
Humidifier heated used w pap |
21,134 |
18,574 |
$550K |
| E0431 |
Portable gaseous 02 |
26,706 |
23,602 |
$532K |
| A4604 |
Tubing with heating element |
14,956 |
13,428 |
$513K |
| E0470 |
Rad w/o backup non-inv intfc |
3,360 |
2,885 |
$479K |
| E0143 |
Walker folding wheeled w/o s |
5,323 |
4,967 |
$376K |
| L4361 |
Pneuma/vac walk boot pre ots |
3,543 |
3,348 |
$376K |
| E1392 |
Portable oxygen concentrator |
16,104 |
14,099 |
$372K |
| E0619 |
Apnea monitor w recorder |
1,521 |
1,329 |
$365K |
| K0001 |
Standard wheelchair |
12,118 |
10,746 |
$351K |
| A7034 |
Nasal application device |
4,912 |
4,431 |
$344K |
| A7035 |
Pos airway press headgear |
13,423 |
11,980 |
$335K |
| E0260 |
Hosp bed semi-electr w/ matt |
6,397 |
5,837 |
$289K |
| E0114 |
Crutch underarm pair no wood |
7,654 |
7,039 |
$251K |
| E0603 |
Electric breast pump |
1,982 |
1,843 |
$228K |
| A7031 |
Replacement facemask interfa |
6,332 |
5,789 |
$221K |
| A7005 |
Nondisposable nebulizer set |
10,358 |
9,396 |
$202K |
| L3809 |
Whfo w/o joints pre ots |
1,872 |
1,755 |
$196K |
| E0240 |
Bath/shower chair |
1,611 |
1,564 |
$162K |
| E0471 |
Rad w/backup non inv intrfc |
635 |
450 |
$152K |
| A7038 |
Pos airway pressure filter |
21,100 |
18,970 |
$136K |
| E0466 |
Home vent non-invasive inter |
343 |
318 |
$135K |
| K0007 |
Extra heavy duty wheelchair |
1,601 |
1,384 |
$132K |
| A7032 |
Replacement nasal cushion |
3,237 |
2,911 |
$130K |
| A7046 |
Repl water chamber, pap dev |
9,995 |
9,022 |
$123K |
| E0247 |
Trans bench w/wo comm open |
1,086 |
1,033 |
$113K |
| E0630 |
Patient lift hydraulic |
2,257 |
2,108 |
$104K |
| E0445 |
Oximeter non-invasive |
1,624 |
1,365 |
$89K |
| L3650 |
So 8 abd restraint pre ots |
2,445 |
2,293 |
$87K |
| E0425 |
Gas system stationary compre |
795 |
724 |
$87K |
| E0303 |
Hosp bed hvy dty xtra wide |
682 |
630 |
$83K |
| A7039 |
Filter, non disposable w pap |
8,389 |
7,413 |
$74K |
| E0149 |
Heavy duty wheeled walker |
1,937 |
1,708 |
$62K |
| L3908 |
Who cock-up nonmolde pre ots |
2,227 |
1,990 |
$58K |
| L1830 |
Ko immob canvas long pre ots |
1,750 |
1,614 |
$50K |
| L4350 |
Ankle control ortho pre ots |
1,538 |
1,423 |
$50K |
| A7033 |
Replacement nasal pillows |
1,680 |
1,538 |
$50K |
| E0483 |
Hi freq chest wall oscil sys |
83 |
77 |
$47K |
| E0600 |
Suction pump portab hom modl |
1,779 |
1,557 |
$46K |
| E0218 |
Fluid circ cold pad w pump |
324 |
303 |
$45K |
| K0006 |
Heavy duty wheelchair |
557 |
553 |
$25K |
| V5261 |
Hearing aid, digit, bin, bte |
30 |
25 |
$22K |
| L1820 |
Ko elas w/ condyle pads & jo |
208 |
187 |
$17K |
| E0156 |
Walker seat attachment |
1,452 |
1,318 |
$17K |
| E0163 |
Commode chair with fixed arm |
185 |
168 |
$15K |
| K0003 |
Lightweight wheelchair |
371 |
334 |
$14K |
| E0250 |
Hosp bed fixed ht w/ mattres |
873 |
778 |
$9K |
| L3670 |
So acro/clav can web pre ots |
294 |
286 |
$8K |
| E1238 |
Fld ped wc adjstabl w/o seat |
55 |
53 |
$7K |
| E0165 |
Commode chair with detacharm |
270 |
267 |
$7K |
| A7015 |
Aerosol mask used w nebulize |
4,535 |
4,159 |
$6K |
| E0910 |
Trapeze bar attached to bed |
720 |
652 |
$6K |
| L3984 |
Upper ext fx orthosis wrist |
24 |
24 |
$6K |
| A7037 |
Pos airway pressure tubing |
275 |
264 |
$6K |
| A7000 |
Disposable canister for pump |
459 |
385 |
$4K |
| A4556 |
Electrodes, pair |
137 |
95 |
$4K |
| E0100 |
Cane adjust/fixed with tip |
246 |
235 |
$4K |
| E1226 |
Manual fully reclining back |
113 |
106 |
$4K |
| K0195 |
Elevating whlchair leg rests |
1,612 |
1,364 |
$4K |
| E0912 |
Hd trapeze bar free standing |
160 |
101 |
$3K |
| A7002 |
Tubing used w suction pump |
587 |
512 |
$3K |
| E0181 |
Press pad alternating w/ pum |
361 |
300 |
$3K |
| A7036 |
Pos airway press chinstrap |
204 |
172 |
$2K |
| V5264 |
Ear mold/insert |
34 |
28 |
$2K |
| A7013 |
Disposable compressor filter |
2,134 |
1,963 |
$2K |
| E0277 |
Powered pres-redu air mattrs |
14 |
13 |
$2K |
| A4606 |
Oxygen probe used w oximeter |
77 |
51 |
$2K |
| A7003 |
Nebulizer administration set |
886 |
833 |
$2K |
| A4624 |
Tracheal suction tube |
12 |
12 |
$1K |
| E0565 |
Compressor air power source |
40 |
36 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
80 |
52 |
$1K |
| L1902 |
Afo ankle gauntlet pre ots |
27 |
27 |
$1K |
| E0244 |
Toilet seat raised |
40 |
39 |
$879.03 |
| A4628 |
Oropharyngeal suction cath |
146 |
114 |
$552.05 |
| A7526 |
Tracheostomy tube collar |
12 |
12 |
$549.20 |
| A4557 |
Lead wires, pair |
12 |
12 |
$380.85 |
| K0738 |
Portable gas oxygen system |
12 |
12 |
$308.05 |
| L3660 |
So 8 ab rstr can/web pre ots |
47 |
40 |
$238.88 |