| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
77,782 |
58,403 |
$2.84M |
| A7030 |
Cpap full face mask |
17,526 |
14,669 |
$800K |
| A7031 |
Replacement facemask interfa |
31,338 |
26,435 |
$750K |
| E0601 |
Cont airway pressure device |
29,670 |
24,863 |
$656K |
| E0603 |
Electric breast pump |
4,357 |
4,015 |
$499K |
| E0431 |
Portable gaseous 02 |
60,667 |
46,327 |
$469K |
| A4604 |
Tubing with heating element |
23,245 |
19,380 |
$462K |
| E0260 |
Hosp bed semi-electr w/ matt |
26,540 |
20,655 |
$454K |
| A7034 |
Nasal application device |
13,622 |
11,574 |
$386K |
| A7032 |
Replacement nasal cushion |
15,758 |
13,145 |
$375K |
| K0001 |
Standard wheelchair |
35,082 |
27,818 |
$342K |
| E0562 |
Humidifier heated used w pap |
5,566 |
4,706 |
$329K |
| E0466 |
Home vent non-invasive inter |
751 |
634 |
$250K |
| A4624 |
Tracheal suction tube |
1,681 |
1,285 |
$194K |
| A7035 |
Pos airway press headgear |
17,593 |
14,794 |
$175K |
| E0470 |
Rad w/o backup non-inv intfc |
5,395 |
4,057 |
$172K |
| A7038 |
Pos airway pressure filter |
51,852 |
43,972 |
$162K |
| E2611 |
Gen use back cush wdth <22in |
3,209 |
2,391 |
$155K |
| K0003 |
Lightweight wheelchair |
7,636 |
5,939 |
$140K |
| A7033 |
Replacement nasal pillows |
6,805 |
5,753 |
$140K |
| E0630 |
Patient lift hydraulic |
8,710 |
6,758 |
$129K |
| E0143 |
Walker folding wheeled w/o s |
7,094 |
5,391 |
$127K |
| A4623 |
Tracheostomy inner cannula |
1,620 |
1,203 |
$105K |
| E1392 |
Portable oxygen concentrator |
8,470 |
6,023 |
$105K |
| K0006 |
Heavy duty wheelchair |
3,856 |
2,971 |
$87K |
| K0004 |
High strength ltwt whlchr |
2,152 |
1,841 |
$84K |
| E0570 |
Nebulizer with compression |
13,741 |
10,756 |
$83K |
| A7526 |
Tracheostomy tube collar |
1,984 |
1,493 |
$81K |
| A7046 |
Repl water chamber, pap dev |
13,398 |
11,362 |
$81K |
| B4035 |
Enteral feed supp pump per d |
914 |
689 |
$78K |
| E0185 |
Gel pressure mattress pad |
1,535 |
1,164 |
$75K |
| K0007 |
Extra heavy duty wheelchair |
2,161 |
1,750 |
$71K |
| E0277 |
Powered pres-redu air mattrs |
1,306 |
895 |
$71K |
| K0195 |
Elevating whlchair leg rests |
18,450 |
14,979 |
$69K |
| E0163 |
Commode chair with fixed arm |
4,156 |
3,028 |
$67K |
| E0973 |
W/ch access det adj armrest |
2,334 |
1,366 |
$59K |
| K0738 |
Portable gas oxygen system |
2,909 |
2,151 |
$50K |
| E0600 |
Suction pump portab hom modl |
2,729 |
2,255 |
$49K |
| A7520 |
Trach/laryn tube non-cuffed |
608 |
468 |
$43K |
| E2601 |
Gen w/c cushion wdth < 22 in |
3,958 |
2,973 |
$43K |
| E0971 |
Wheelchair anti-tipping devi |
3,390 |
1,948 |
$43K |
| A7037 |
Pos airway pressure tubing |
3,673 |
3,092 |
$42K |
| E0303 |
Hosp bed hvy dty xtra wide |
1,124 |
889 |
$41K |
| B4152 |
Ef calorie dense>/=1.5kcal |
507 |
376 |
$34K |
| A7039 |
Filter, non disposable w pap |
7,465 |
6,254 |
$26K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
476 |
340 |
$25K |
| E0961 |
Wheelchair brake extension |
2,108 |
1,179 |
$24K |
| E0565 |
Compressor air power source |
1,293 |
1,053 |
$24K |
| A4629 |
Tracheostomy care kit |
579 |
441 |
$23K |
| E0465 |
Home vent invasive interface |
88 |
61 |
$21K |
| E0445 |
Oximeter non-invasive |
241 |
221 |
$21K |
| B9002 |
Enter nutr inf pump any type |
524 |
467 |
$20K |
| E0149 |
Heavy duty wheeled walker |
1,090 |
908 |
$20K |
| E1226 |
Manual fully reclining back |
836 |
718 |
$18K |
| E0165 |
Commode chair with detacharm |
2,922 |
2,119 |
$17K |
| A7000 |
Disposable canister for pump |
1,897 |
1,439 |
$17K |
| A4217 |
Sterile water/saline, 500 ml |
376 |
307 |
$15K |
| A7507 |
Integrated filter & holder |
444 |
330 |
$13K |
| A7002 |
Tubing used w suction pump |
1,951 |
1,452 |
$9K |
| E0951 |
Loop heel |
1,426 |
771 |
$9K |
| A7036 |
Pos airway press chinstrap |
1,475 |
1,265 |
$9K |
| E0156 |
Walker seat attachment |
1,124 |
834 |
$9K |
| E0181 |
Press pad alternating w/ pum |
1,989 |
1,518 |
$8K |
| A4628 |
Oropharyngeal suction cath |
611 |
428 |
$8K |
| A4927 |
Non-sterile gloves |
492 |
353 |
$7K |
| E0265 |
Hosp bed total electr w/ mat |
1,706 |
1,099 |
$7K |
| E0261 |
Hosp bed semi-electr w/o mat |
513 |
357 |
$6K |
| E0776 |
Iv pole |
789 |
624 |
$4K |
| E1038 |
Transport chair pt wt<=300lb |
983 |
797 |
$4K |
| B9998 |
Enteral supp not otherwise c |
64 |
27 |
$4K |
| E1020 |
Residual limb support system |
315 |
230 |
$3K |
| A7005 |
Nondisposable nebulizer set |
441 |
364 |
$2K |
| A7007 |
Lg vol nebulizer disposable |
386 |
278 |
$2K |
| A7525 |
Tracheostomy mask |
215 |
142 |
$1K |
| B4034 |
Enter feed supkit syr by day |
30 |
26 |
$1K |
| E0240 |
Bath/shower chair |
130 |
88 |
$1K |
| E0168 |
Heavyduty/wide commode chair |
14 |
13 |
$873.88 |
| A7012 |
Nebulizer water collec devic |
172 |
124 |
$818.83 |
| A4216 |
Sterile water/saline, 10 ml |
61 |
38 |
$747.09 |
| E0978 |
W/c acc,saf belt pelv strap |
95 |
79 |
$613.58 |
| A6402 |
Sterile gauze <= 16 sq in |
125 |
94 |
$513.05 |
| A4606 |
Oxygen probe used w oximeter |
17 |
12 |
$488.32 |
| E0245 |
Tub stool or bench |
31 |
13 |
$436.55 |
| A7013 |
Disposable compressor filter |
562 |
449 |
$341.80 |
| E0910 |
Trapeze bar attached to bed |
26 |
24 |
$162.48 |
| A7010 |
Disposable corrugated tubing |
19 |
14 |
$121.11 |
| E0443 |
Portable 02 contents, gas |
16 |
13 |
$113.86 |
| A7015 |
Aerosol mask used w nebulize |
103 |
93 |
$112.53 |
| E0271 |
Mattress innerspring |
58 |
45 |
$98.07 |