| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
70,456 |
65,772 |
$3.60M |
| E0601 |
Cont airway pressure device |
48,987 |
46,844 |
$2.29M |
| E0470 |
Rad w/o backup non-inv intfc |
12,243 |
11,450 |
$1.31M |
| E0562 |
Humidifier heated used w pap |
10,136 |
9,322 |
$872K |
| A7030 |
Cpap full face mask |
11,642 |
10,560 |
$575K |
| E0466 |
Home vent non-invasive inter |
1,072 |
999 |
$553K |
| E0431 |
Portable gaseous 02 |
25,747 |
23,847 |
$499K |
| A4604 |
Tubing with heating element |
21,659 |
19,938 |
$493K |
| A7034 |
Nasal application device |
13,510 |
12,480 |
$413K |
| E1392 |
Portable oxygen concentrator |
29,310 |
26,325 |
$364K |
| E0603 |
Electric breast pump |
2,621 |
2,465 |
$359K |
| A7035 |
Pos airway press headgear |
17,378 |
16,064 |
$291K |
| E0471 |
Rad w/backup non inv intrfc |
1,568 |
1,472 |
$286K |
| E0260 |
Hosp bed semi-electr w/ matt |
6,049 |
5,673 |
$269K |
| A7031 |
Replacement facemask interfa |
8,953 |
7,881 |
$228K |
| K0001 |
Standard wheelchair |
7,169 |
6,766 |
$174K |
| E0143 |
Walker folding wheeled w/o s |
5,306 |
4,955 |
$163K |
| E0570 |
Nebulizer with compression |
8,256 |
7,547 |
$144K |
| A7033 |
Replacement nasal pillows |
5,549 |
4,946 |
$116K |
| A7032 |
Replacement nasal cushion |
5,056 |
4,566 |
$112K |
| K0003 |
Lightweight wheelchair |
2,134 |
1,959 |
$100K |
| K0738 |
Portable gas oxygen system |
4,837 |
4,574 |
$93K |
| A4239 |
Non-adju cgm supply allow |
1,721 |
1,448 |
$87K |
| A7038 |
Pos airway pressure filter |
31,312 |
27,669 |
$73K |
| E0245 |
Tub stool or bench |
1,664 |
1,562 |
$49K |
| K0553 |
Ther cgm supply allowance |
492 |
424 |
$46K |
| E0163 |
Commode chair with fixed arm |
1,238 |
1,161 |
$36K |
| A7037 |
Pos airway pressure tubing |
2,290 |
2,098 |
$31K |
| E0630 |
Patient lift hydraulic |
419 |
384 |
$26K |
| E0149 |
Heavy duty wheeled walker |
824 |
745 |
$25K |
| K0007 |
Extra heavy duty wheelchair |
256 |
234 |
$25K |
| A7005 |
Nondisposable nebulizer set |
1,883 |
1,755 |
$21K |
| A7046 |
Repl water chamber, pap dev |
7,486 |
6,639 |
$20K |
| E0248 |
Hdtrans bench w/wo comm open |
233 |
210 |
$14K |
| E0565 |
Compressor air power source |
336 |
331 |
$13K |
| A9276 |
Disposable sensor, cgm sys |
43 |
38 |
$9K |
| T4541 |
Large disposable underpad |
292 |
239 |
$9K |
| A7036 |
Pos airway press chinstrap |
952 |
890 |
$7K |
| E0156 |
Walker seat attachment |
717 |
658 |
$5K |
| A7039 |
Filter, non disposable w pap |
993 |
871 |
$5K |
| E0600 |
Suction pump portab hom modl |
69 |
64 |
$5K |
| K0195 |
Elevating whlchair leg rests |
1,253 |
1,202 |
$4K |
| A4927 |
Non-sterile gloves |
280 |
222 |
$3K |
| A7003 |
Nebulizer administration set |
2,335 |
2,153 |
$3K |
| T4527 |
Adult size pull-on lg |
28 |
24 |
$2K |
| E2103 |
Non-adju cgm receiver/mon |
81 |
65 |
$2K |
| E0255 |
Hospital bed var ht w/ mattr |
122 |
106 |
$2K |
| T4522 |
Adult size brief/diaper med |
17 |
13 |
$1K |
| K0006 |
Heavy duty wheelchair |
27 |
27 |
$518.38 |
| A4623 |
Tracheostomy inner cannula |
14 |
12 |
$425.96 |
| A7002 |
Tubing used w suction pump |
59 |
38 |
$222.37 |
| A6251 |
Absorpt drg <=16 sq in w/o b |
15 |
12 |
$220.10 |
| E0100 |
Cane adjust/fixed with tip |
28 |
26 |
$219.45 |
| A7000 |
Disposable canister for pump |
18 |
12 |
$143.19 |
| A7013 |
Disposable compressor filter |
186 |
168 |
$17.40 |
| E1356 |
Batt pack/cart, port conc |
910 |
894 |
$0.00 |