| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
49,312 |
41,053 |
$1.93M |
| E0466 |
Home vent non-invasive inter |
2,342 |
1,916 |
$896K |
| E0601 |
Cont airway pressure device |
9,713 |
7,427 |
$432K |
| A7030 |
Cpap full face mask |
6,957 |
6,215 |
$371K |
| E0260 |
Hosp bed semi-electr w/ matt |
8,003 |
6,794 |
$261K |
| E0431 |
Portable gaseous 02 |
28,288 |
24,569 |
$260K |
| A4604 |
Tubing with heating element |
9,865 |
8,913 |
$249K |
| K0001 |
Standard wheelchair |
11,684 |
10,047 |
$204K |
| A7031 |
Replacement facemask interfa |
7,156 |
6,063 |
$185K |
| E0143 |
Walker folding wheeled w/o s |
6,757 |
6,141 |
$178K |
| E0562 |
Humidifier heated used w pap |
3,933 |
3,533 |
$159K |
| E1392 |
Portable oxygen concentrator |
9,284 |
7,936 |
$153K |
| E0570 |
Nebulizer with compression |
6,059 |
5,413 |
$145K |
| A7034 |
Nasal application device |
3,656 |
3,302 |
$134K |
| K0738 |
Portable gas oxygen system |
5,928 |
5,087 |
$114K |
| K0195 |
Elevating whlchair leg rests |
12,942 |
10,934 |
$110K |
| E0114 |
Crutch underarm pair no wood |
3,537 |
3,048 |
$100K |
| E0163 |
Commode chair with fixed arm |
2,508 |
2,296 |
$94K |
| E0470 |
Rad w/o backup non-inv intfc |
1,297 |
1,034 |
$91K |
| A7035 |
Pos airway press headgear |
7,055 |
6,451 |
$89K |
| E0603 |
Electric breast pump |
513 |
506 |
$79K |
| A7032 |
Replacement nasal cushion |
2,394 |
2,051 |
$62K |
| E0600 |
Suction pump portab hom modl |
2,338 |
1,921 |
$58K |
| K0003 |
Lightweight wheelchair |
2,230 |
1,811 |
$57K |
| E2611 |
Gen use back cush wdth <22in |
736 |
662 |
$57K |
| E0630 |
Patient lift hydraulic |
1,848 |
1,588 |
$53K |
| E0971 |
Wheelchair anti-tipping devi |
4,443 |
2,676 |
$49K |
| A7046 |
Repl water chamber, pap dev |
4,631 |
4,269 |
$39K |
| L3809 |
Whfo w/o joints pre ots |
301 |
271 |
$37K |
| L4350 |
Ankle control ortho pre ots |
668 |
595 |
$36K |
| L1830 |
Ko immob canvas long pre ots |
723 |
622 |
$34K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,273 |
1,073 |
$31K |
| A7038 |
Pos airway pressure filter |
13,691 |
10,381 |
$31K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,325 |
1,185 |
$28K |
| L3908 |
Who cock-up nonmolde pre ots |
701 |
566 |
$23K |
| E0565 |
Compressor air power source |
707 |
609 |
$19K |
| A7033 |
Replacement nasal pillows |
1,013 |
886 |
$18K |
| L3260 |
Ambulatory surgical boot eac |
1,027 |
788 |
$18K |
| E0303 |
Hosp bed hvy dty xtra wide |
265 |
180 |
$17K |
| A4624 |
Tracheal suction tube |
165 |
122 |
$16K |
| L4387 |
Non-pneum walk boot pre ots |
179 |
162 |
$16K |
| A7526 |
Tracheostomy tube collar |
261 |
206 |
$15K |
| E0910 |
Trapeze bar attached to bed |
1,991 |
1,691 |
$12K |
| E0149 |
Heavy duty wheeled walker |
487 |
412 |
$11K |
| A4628 |
Oropharyngeal suction cath |
721 |
598 |
$11K |
| K0006 |
Heavy duty wheelchair |
222 |
194 |
$9K |
| A7000 |
Disposable canister for pump |
891 |
752 |
$8K |
| E0445 |
Oximeter non-invasive |
65 |
54 |
$8K |
| E0240 |
Bath/shower chair |
54 |
53 |
$8K |
| A7002 |
Tubing used w suction pump |
952 |
802 |
$7K |
| A4565 |
Slings |
1,077 |
1,024 |
$6K |
| A7520 |
Trach/laryn tube non-cuffed |
90 |
67 |
$6K |
| A4623 |
Tracheostomy inner cannula |
63 |
48 |
$6K |
| A7037 |
Pos airway pressure tubing |
595 |
552 |
$5K |
| E0247 |
Trans bench w/wo comm open |
45 |
42 |
$5K |
| E0156 |
Walker seat attachment |
582 |
525 |
$5K |
| A4629 |
Tracheostomy care kit |
67 |
53 |
$5K |
| E0185 |
Gel pressure mattress pad |
59 |
53 |
$5K |
| A4606 |
Oxygen probe used w oximeter |
47 |
40 |
$5K |
| A7005 |
Nondisposable nebulizer set |
228 |
210 |
$2K |
| E0165 |
Commode chair with detacharm |
59 |
57 |
$2K |
| E0973 |
W/ch access det adj armrest |
36 |
24 |
$1K |
| A7036 |
Pos airway press chinstrap |
175 |
154 |
$1K |
| E0135 |
Walker folding adjust/fixed |
59 |
42 |
$862.12 |
| A6402 |
Sterile gauze <= 16 sq in |
110 |
83 |
$835.18 |
| E0245 |
Tub stool or bench |
29 |
29 |
$708.02 |
| E0118 |
Crutch substitute |
24 |
24 |
$618.80 |
| E1226 |
Manual fully reclining back |
26 |
25 |
$616.82 |
| E1038 |
Transport chair pt wt<=300lb |
121 |
93 |
$564.99 |
| E0604 |
Hosp grade elec breast pump |
14 |
14 |
$498.10 |
| A7003 |
Nebulizer administration set |
264 |
216 |
$490.82 |
| A7039 |
Filter, non disposable w pap |
77 |
73 |
$351.02 |
| A7004 |
Disposable nebulizer sml vol |
192 |
172 |
$334.46 |
| A7013 |
Disposable compressor filter |
116 |
106 |
$93.18 |
| A7015 |
Aerosol mask used w nebulize |
12 |
12 |
$12.05 |