| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,013 |
3,804 |
$158K |
| E0601 |
Cont airway pressure device |
2,841 |
2,782 |
$137K |
| E0562 |
Humidifier heated used w pap |
356 |
348 |
$39K |
| K0738 |
Portable gas oxygen system |
1,715 |
1,649 |
$39K |
| E0570 |
Nebulizer with compression |
1,683 |
1,605 |
$39K |
| E0470 |
Rad w/o backup non-inv intfc |
260 |
253 |
$33K |
| A7030 |
Cpap full face mask |
611 |
572 |
$32K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,018 |
1,006 |
$27K |
| K0001 |
Standard wheelchair |
1,167 |
1,150 |
$20K |
| A4604 |
Tubing with heating element |
813 |
765 |
$20K |
| E0431 |
Portable gaseous 02 |
1,104 |
1,023 |
$14K |
| E1392 |
Portable oxygen concentrator |
380 |
368 |
$14K |
| A7035 |
Pos airway press headgear |
741 |
698 |
$13K |
| T4527 |
Adult size pull-on lg |
130 |
124 |
$11K |
| A7031 |
Replacement facemask interfa |
398 |
357 |
$9K |
| B4150 |
Ef complet w/intact nutrient |
132 |
83 |
$8K |
| A7034 |
Nasal application device |
263 |
253 |
$8K |
| T4528 |
Adult size pull-on xl |
98 |
87 |
$8K |
| T4541 |
Large disposable underpad |
310 |
275 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
109 |
100 |
$6K |
| E0630 |
Patient lift hydraulic |
223 |
217 |
$5K |
| K0006 |
Heavy duty wheelchair |
140 |
137 |
$5K |
| A7005 |
Nondisposable nebulizer set |
281 |
268 |
$4K |
| E0255 |
Hospital bed var ht w/ mattr |
321 |
276 |
$4K |
| T4522 |
Adult size brief/diaper med |
62 |
43 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
133 |
119 |
$3K |
| A7038 |
Pos airway pressure filter |
1,278 |
1,144 |
$3K |
| T4535 |
Disposable liner/shield/pad |
102 |
90 |
$3K |
| K0195 |
Elevating whlchair leg rests |
536 |
531 |
$1K |
| A7003 |
Nebulizer administration set |
514 |
486 |
$866.92 |
| A4927 |
Non-sterile gloves |
106 |
92 |
$789.49 |
| E1038 |
Transport chair pt wt<=300lb |
145 |
133 |
$748.43 |
| A7032 |
Replacement nasal cushion |
14 |
12 |
$366.61 |
| A7037 |
Pos airway pressure tubing |
24 |
24 |
$277.79 |
| E0163 |
Commode chair with fixed arm |
14 |
13 |
$277.19 |
| A7046 |
Repl water chamber, pap dev |
90 |
81 |
$239.24 |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$213.05 |
| E0156 |
Walker seat attachment |
13 |
12 |
$154.29 |
| A7015 |
Aerosol mask used w nebulize |
13 |
12 |
$14.87 |