| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
26,703 |
24,950 |
$1.91M |
| L4361 |
Pneuma/vac walk boot pre ots |
2,208 |
2,077 |
$368K |
| E0601 |
Cont airway pressure device |
6,192 |
5,727 |
$347K |
| E0260 |
Hosp bed semi-electr w/ matt |
6,481 |
6,009 |
$286K |
| E0603 |
Electric breast pump |
1,734 |
1,624 |
$278K |
| L1833 |
Ko adj jnt pos r sup pre ots |
710 |
659 |
$250K |
| A7030 |
Cpap full face mask |
2,688 |
2,561 |
$247K |
| A7031 |
Replacement facemask interfa |
2,483 |
2,367 |
$226K |
| K0738 |
Portable gas oxygen system |
11,397 |
10,723 |
$204K |
| E0466 |
Home vent non-invasive inter |
576 |
557 |
$198K |
| E0562 |
Humidifier heated used w pap |
955 |
893 |
$143K |
| E0143 |
Walker folding wheeled w/o s |
3,024 |
2,824 |
$143K |
| E0570 |
Nebulizer with compression |
9,854 |
9,137 |
$143K |
| A4604 |
Tubing with heating element |
4,380 |
4,141 |
$142K |
| A7034 |
Nasal application device |
2,146 |
2,016 |
$117K |
| A7032 |
Replacement nasal cushion |
1,176 |
1,106 |
$114K |
| E0470 |
Rad w/o backup non-inv intfc |
1,045 |
1,012 |
$105K |
| K0001 |
Standard wheelchair |
4,683 |
4,324 |
$96K |
| K0002 |
Stnd hemi (low seat) whlchr |
2,501 |
2,373 |
$65K |
| E1392 |
Portable oxygen concentrator |
5,613 |
5,389 |
$57K |
| A7038 |
Pos airway pressure filter |
4,518 |
4,285 |
$55K |
| E0114 |
Crutch underarm pair no wood |
1,828 |
1,720 |
$52K |
| E0163 |
Commode chair with fixed arm |
1,577 |
1,462 |
$51K |
| A7035 |
Pos airway press headgear |
2,994 |
2,837 |
$50K |
| L3908 |
Who cock-up nonmolde pre ots |
1,354 |
1,135 |
$50K |
| K0006 |
Heavy duty wheelchair |
1,249 |
1,154 |
$49K |
| E0431 |
Portable gaseous 02 |
2,681 |
2,519 |
$39K |
| A7033 |
Replacement nasal pillows |
486 |
464 |
$38K |
| K0195 |
Elevating whlchair leg rests |
8,418 |
7,872 |
$37K |
| E0439 |
Stationary liquid 02 |
481 |
406 |
$37K |
| L3670 |
So acro/clav can web pre ots |
445 |
426 |
$29K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
2,597 |
2,311 |
$27K |
| L1902 |
Afo ankle gauntlet pre ots |
532 |
479 |
$26K |
| K0003 |
Lightweight wheelchair |
812 |
731 |
$25K |
| A7005 |
Nondisposable nebulizer set |
1,410 |
1,317 |
$18K |
| B4150 |
Ef complet w/intact nutrient |
299 |
245 |
$18K |
| A7046 |
Repl water chamber, pap dev |
1,853 |
1,770 |
$17K |
| E0630 |
Patient lift hydraulic |
972 |
920 |
$16K |
| E0240 |
Bath/shower chair |
408 |
370 |
$14K |
| L3809 |
Whfo w/o joints pre ots |
104 |
92 |
$12K |
| A4670 |
Automatic bp monitor, dial |
87 |
78 |
$11K |
| L1906 |
Afo multilig ank sup pre ots |
201 |
182 |
$11K |
| E0149 |
Heavy duty wheeled walker |
525 |
474 |
$9K |
| E0434 |
Portable liquid 02 |
551 |
456 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
102 |
99 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
1,047 |
669 |
$6K |
| E0181 |
Press pad alternating w/ pum |
642 |
580 |
$5K |
| A7036 |
Pos airway press chinstrap |
523 |
498 |
$5K |
| L4350 |
Ankle control ortho pre ots |
97 |
89 |
$5K |
| E0156 |
Walker seat attachment |
509 |
472 |
$4K |
| E2202 |
Seat width 24-27 in |
192 |
179 |
$4K |
| E0303 |
Hosp bed hvy dty xtra wide |
28 |
26 |
$3K |
| E0165 |
Commode chair with detacharm |
468 |
412 |
$3K |
| E1038 |
Transport chair pt wt<=300lb |
398 |
387 |
$2K |
| A7037 |
Pos airway pressure tubing |
155 |
138 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
234 |
221 |
$2K |
| E2601 |
Gen w/c cushion wdth < 22 in |
106 |
102 |
$2K |
| L3924 |
Hfo without joints pre ots |
31 |
29 |
$2K |
| E0600 |
Suction pump portab hom modl |
62 |
62 |
$1K |
| E0973 |
W/ch access det adj armrest |
154 |
97 |
$1K |
| L4398 |
Foot drop splint pre ots |
41 |
39 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
40 |
39 |
$1K |
| T4541 |
Large disposable underpad |
19 |
15 |
$1K |
| A4565 |
Slings |
133 |
127 |
$784.39 |
| L1812 |
Ko elastic w/joints pre ots |
14 |
12 |
$773.73 |
| A7039 |
Filter, non disposable w pap |
117 |
94 |
$524.57 |
| A7003 |
Nebulizer administration set |
258 |
236 |
$387.20 |
| A4927 |
Non-sterile gloves |
15 |
12 |
$352.20 |
| K0004 |
High strength ltwt whlchr |
18 |
12 |
$305.60 |
| E0910 |
Trapeze bar attached to bed |
12 |
12 |
$65.48 |
| E0951 |
Loop heel |
31 |
24 |
$26.29 |