| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
22,274 |
21,737 |
$1.08M |
| E1390 |
Oxygen concentrator |
15,154 |
14,184 |
$731K |
| E0562 |
Humidifier heated used w pap |
20,394 |
20,177 |
$277K |
| A7030 |
Cpap full face mask |
4,897 |
4,625 |
$269K |
| E0470 |
Rad w/o backup non-inv intfc |
3,142 |
2,979 |
$263K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,492 |
4,240 |
$138K |
| B4150 |
Ef complet w/intact nutrient |
1,006 |
874 |
$133K |
| E0431 |
Portable gaseous 02 |
10,842 |
10,366 |
$132K |
| K0001 |
Standard wheelchair |
6,554 |
6,308 |
$114K |
| E0570 |
Nebulizer with compression |
4,124 |
3,941 |
$96K |
| A7035 |
Pos airway press headgear |
5,799 |
5,505 |
$88K |
| A7034 |
Nasal application device |
2,369 |
2,246 |
$78K |
| A7037 |
Pos airway pressure tubing |
4,925 |
4,816 |
$76K |
| A7038 |
Pos airway pressure filter |
7,594 |
6,924 |
$74K |
| A7031 |
Replacement facemask interfa |
2,260 |
2,051 |
$55K |
| E0143 |
Walker folding wheeled w/o s |
1,295 |
1,235 |
$48K |
| E0603 |
Electric breast pump |
262 |
261 |
$31K |
| E0630 |
Patient lift hydraulic |
1,102 |
1,091 |
$29K |
| T4527 |
Adult size pull-on lg |
232 |
165 |
$20K |
| A4604 |
Tubing with heating element |
1,547 |
1,328 |
$16K |
| A7032 |
Replacement nasal cushion |
565 |
498 |
$15K |
| E0114 |
Crutch underarm pair no wood |
525 |
525 |
$15K |
| E0466 |
Home vent non-invasive inter |
63 |
48 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,823 |
1,786 |
$10K |
| L4361 |
Pneuma/vac walk boot pre ots |
72 |
70 |
$10K |
| K0007 |
Extra heavy duty wheelchair |
234 |
227 |
$9K |
| K0195 |
Elevating whlchair leg rests |
1,502 |
1,437 |
$9K |
| E0471 |
Rad w/backup non inv intrfc |
77 |
75 |
$8K |
| L4350 |
Ankle control ortho pre ots |
127 |
127 |
$8K |
| L3809 |
Whfo w/o joints pre ots |
58 |
57 |
$8K |
| T4541 |
Large disposable underpad |
360 |
268 |
$8K |
| E0250 |
Hosp bed fixed ht w/ mattres |
270 |
267 |
$8K |
| A4351 |
Straight tip urine catheter |
54 |
51 |
$8K |
| E0149 |
Heavy duty wheeled walker |
468 |
448 |
$7K |
| A7033 |
Replacement nasal pillows |
221 |
185 |
$6K |
| K0553 |
Ther cgm supply allowance |
38 |
35 |
$5K |
| E0156 |
Walker seat attachment |
1,163 |
1,120 |
$5K |
| L3908 |
Who cock-up nonmolde pre ots |
117 |
108 |
$5K |
| L1830 |
Ko immob canvas long pre ots |
93 |
93 |
$5K |
| T4526 |
Adult size pull-on med |
64 |
37 |
$5K |
| A4253 |
Blood glucose/reagent strips |
193 |
189 |
$5K |
| E0730 |
Tens four lead |
161 |
161 |
$4K |
| K0738 |
Portable gas oxygen system |
574 |
559 |
$4K |
| E0635 |
Patient lift electric |
53 |
53 |
$2K |
| A7005 |
Nondisposable nebulizer set |
184 |
174 |
$2K |
| L3660 |
So 8 ab rstr can/web pre ots |
43 |
43 |
$2K |
| A4927 |
Non-sterile gloves |
228 |
160 |
$2K |
| E0561 |
Humidifier nonheated w pap |
210 |
210 |
$2K |
| A4385 |
Ost skn barrier sld ext wear |
13 |
12 |
$1K |
| T4528 |
Adult size pull-on xl |
20 |
12 |
$1K |
| E0181 |
Press pad alternating w/ pum |
101 |
99 |
$1K |
| L3260 |
Ambulatory surgical boot eac |
63 |
63 |
$1K |
| E0600 |
Suction pump portab hom modl |
64 |
64 |
$1K |
| T4535 |
Disposable liner/shield/pad |
33 |
14 |
$803.95 |
| E0245 |
Tub stool or bench |
13 |
13 |
$762.15 |
| S5199 |
Personal care item nos each |
45 |
44 |
$504.72 |
| A4456 |
Adhesive remover, wipes |
36 |
36 |
$342.30 |
| A5120 |
Skin barrier, wipe or swab |
29 |
28 |
$208.10 |
| A4259 |
Lancets per box |
54 |
53 |
$199.94 |
| A7003 |
Nebulizer administration set |
172 |
148 |
$154.30 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$76.61 |
| A7015 |
Aerosol mask used w nebulize |
17 |
12 |
$12.99 |