| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
135,620 |
134,664 |
$10.75M |
| E0466 |
Home vent non-invasive inter |
9,501 |
9,226 |
$3.13M |
| E0601 |
Cont airway pressure device |
31,497 |
31,395 |
$1.63M |
| E0465 |
Home vent invasive interface |
2,988 |
2,226 |
$1.50M |
| E0431 |
Portable gaseous 02 |
102,406 |
101,291 |
$1.42M |
| E1392 |
Portable oxygen concentrator |
45,443 |
45,137 |
$1.17M |
| K0001 |
Standard wheelchair |
43,655 |
42,868 |
$1.04M |
| A7033 |
Replacement nasal pillows |
6,337 |
6,251 |
$948K |
| E0277 |
Powered pres-redu air mattrs |
2,445 |
2,339 |
$879K |
| E0562 |
Humidifier heated used w pap |
6,606 |
6,547 |
$843K |
| E0471 |
Rad w/backup non inv intrfc |
2,391 |
2,380 |
$835K |
| E0443 |
Portable 02 contents, gas |
15,001 |
11,825 |
$793K |
| A4604 |
Tubing with heating element |
16,631 |
16,556 |
$691K |
| E0470 |
Rad w/o backup non-inv intfc |
5,325 |
5,307 |
$679K |
| A7034 |
Nasal application device |
10,114 |
10,061 |
$622K |
| E0570 |
Nebulizer with compression |
16,565 |
16,493 |
$586K |
| A7030 |
Cpap full face mask |
6,736 |
6,695 |
$542K |
| A7038 |
Pos airway pressure filter |
17,370 |
17,277 |
$485K |
| E2402 |
Neg press wound therapy pump |
686 |
616 |
$439K |
| E0295 |
Hosp bed semi-elect w/o matt |
7,140 |
7,066 |
$434K |
| A7032 |
Replacement nasal cushion |
3,574 |
3,555 |
$433K |
| E0143 |
Walker folding wheeled w/o s |
10,963 |
10,780 |
$413K |
| A7035 |
Pos airway press headgear |
18,132 |
18,002 |
$402K |
| A4623 |
Tracheostomy inner cannula |
1,659 |
1,619 |
$304K |
| K0003 |
Lightweight wheelchair |
9,535 |
9,453 |
$287K |
| E0163 |
Commode chair with fixed arm |
6,671 |
6,585 |
$276K |
| A7031 |
Replacement facemask interfa |
6,509 |
6,470 |
$256K |
| E0483 |
Hi freq chest wall oscil sys |
515 |
514 |
$238K |
| E0144 |
Enclosed walker w rear seat |
3,122 |
3,086 |
$223K |
| E0600 |
Suction pump portab hom modl |
7,117 |
6,975 |
$214K |
| E0260 |
Hosp bed semi-electr w/ matt |
14,734 |
14,662 |
$212K |
| E0630 |
Patient lift hydraulic |
7,149 |
7,083 |
$205K |
| E0441 |
Stationary o2 contents, gas |
522 |
300 |
$191K |
| A7046 |
Repl water chamber, pap dev |
14,116 |
14,051 |
$177K |
| E0445 |
Oximeter non-invasive |
1,722 |
1,712 |
$159K |
| A7520 |
Trach/laryn tube non-cuffed |
1,744 |
1,713 |
$145K |
| E0303 |
Hosp bed hvy dty xtra wide |
1,145 |
1,141 |
$142K |
| E0240 |
Bath/shower chair |
2,904 |
2,874 |
$135K |
| A4483 |
Moisture exchanger |
874 |
768 |
$135K |
| E0247 |
Trans bench w/wo comm open |
1,927 |
1,917 |
$133K |
| A7526 |
Tracheostomy tube collar |
2,364 |
2,267 |
$131K |
| A4624 |
Tracheal suction tube |
1,829 |
1,743 |
$128K |
| A7005 |
Nondisposable nebulizer set |
6,678 |
6,594 |
$127K |
| E0482 |
Cough stimulating device |
416 |
415 |
$116K |
| K0006 |
Heavy duty wheelchair |
2,029 |
2,017 |
$115K |
| A4629 |
Tracheostomy care kit |
1,930 |
1,873 |
$93K |
| K0195 |
Elevating whlchair leg rests |
8,222 |
8,049 |
$91K |
| A7000 |
Disposable canister for pump |
5,254 |
4,778 |
$89K |
| A6550 |
Neg pres wound ther drsg set |
606 |
453 |
$74K |
| E0271 |
Mattress innerspring |
2,082 |
2,060 |
$65K |
| E0565 |
Compressor air power source |
960 |
951 |
$63K |
| S8189 |
Trach supply noc |
4,287 |
1,610 |
$59K |
| L8501 |
Tracheostomy speaking valve |
356 |
345 |
$51K |
| A7037 |
Pos airway pressure tubing |
2,621 |
2,583 |
$51K |
| A4927 |
Non-sterile gloves |
2,978 |
2,629 |
$49K |
| E0185 |
Gel pressure mattress pad |
1,594 |
1,576 |
$46K |
| K0007 |
Extra heavy duty wheelchair |
593 |
592 |
$46K |
| A4628 |
Oropharyngeal suction cath |
3,857 |
3,450 |
$45K |
| A4605 |
Trach suction cath close sys |
573 |
536 |
$41K |
| A4670 |
Automatic bp monitor, dial |
853 |
851 |
$39K |
| E0305 |
Rails bed side half length |
3,324 |
3,312 |
$33K |
| E0310 |
Rails bed side full length |
2,514 |
2,471 |
$31K |
| A7002 |
Tubing used w suction pump |
5,162 |
4,102 |
$30K |
| E0165 |
Commode chair with detacharm |
932 |
926 |
$28K |
| E1226 |
Manual fully reclining back |
1,309 |
1,298 |
$27K |
| A4357 |
Bedside drainage bag |
1,263 |
1,173 |
$26K |
| A6402 |
Sterile gauze <= 16 sq in |
3,304 |
3,091 |
$21K |
| E0635 |
Patient lift electric |
265 |
265 |
$19K |
| A7039 |
Filter, non disposable w pap |
2,006 |
2,000 |
$17K |
| A7010 |
Disposable corrugated tubing |
837 |
800 |
$15K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,317 |
1,291 |
$15K |
| E0149 |
Heavy duty wheeled walker |
403 |
402 |
$14K |
| A7521 |
Trach/laryn tube cuffed |
152 |
149 |
$14K |
| A4217 |
Sterile water/saline, 500 ml |
725 |
713 |
$14K |
| E0272 |
Mattress foam rubber |
177 |
177 |
$14K |
| E1038 |
Transport chair pt wt<=300lb |
2,193 |
2,182 |
$13K |
| A4606 |
Oxygen probe used w oximeter |
52 |
52 |
$12K |
| E0168 |
Heavyduty/wide commode chair |
243 |
241 |
$11K |
| A7036 |
Pos airway press chinstrap |
981 |
972 |
$11K |
| A7504 |
Tracheostoma hmes filter |
1,765 |
1,467 |
$10K |
| A7007 |
Lg vol nebulizer disposable |
1,309 |
1,220 |
$8K |
| E0971 |
Wheelchair anti-tipping devi |
3,760 |
2,849 |
$8K |
| A7525 |
Tracheostomy mask |
1,595 |
1,530 |
$8K |
| E0156 |
Walker seat attachment |
1,231 |
1,219 |
$6K |
| E0181 |
Press pad alternating w/ pum |
924 |
923 |
$6K |
| A7015 |
Aerosol mask used w nebulize |
4,476 |
4,442 |
$5K |
| E0265 |
Hosp bed total electr w/ mat |
152 |
148 |
$4K |
| E0910 |
Trapeze bar attached to bed |
430 |
430 |
$3K |
| E0105 |
Cane adjust/fixed quad/3 pro |
49 |
49 |
$779.30 |
| E0912 |
Hd trapeze bar free standing |
12 |
12 |
$532.51 |
| E0100 |
Cane adjust/fixed with tip |
57 |
57 |
$490.93 |
| A4615 |
Cannula nasal |
519 |
482 |
$332.87 |
| A6216 |
Non-sterile gauze<=16 sq in |
48 |
48 |
$293.61 |
| E0978 |
W/c acc,saf belt pelv strap |
142 |
142 |
$263.85 |
| A4402 |
Lubricant per ounce |
577 |
576 |
$168.24 |
| E0940 |
Trapeze bar free standing |
25 |
25 |
$122.42 |
| A4616 |
Tubing (oxygen) per foot |
100 |
96 |
$0.12 |