| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
40,025 |
33,205 |
$1.57M |
| E0466 |
Home vent non-invasive inter |
1,614 |
1,340 |
$564K |
| A7030 |
Cpap full face mask |
6,188 |
5,650 |
$318K |
| E0601 |
Cont airway pressure device |
10,904 |
8,579 |
$304K |
| E0431 |
Portable gaseous 02 |
21,652 |
18,905 |
$195K |
| A4604 |
Tubing with heating element |
7,609 |
7,011 |
$182K |
| A7031 |
Replacement facemask interfa |
7,519 |
6,736 |
$165K |
| E0570 |
Nebulizer with compression |
6,605 |
5,949 |
$142K |
| E0562 |
Humidifier heated used w pap |
3,625 |
3,185 |
$126K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,026 |
3,385 |
$113K |
| E0470 |
Rad w/o backup non-inv intfc |
1,334 |
1,134 |
$99K |
| E1392 |
Portable oxygen concentrator |
4,436 |
3,770 |
$82K |
| A7034 |
Nasal application device |
2,163 |
2,039 |
$77K |
| A7035 |
Pos airway press headgear |
5,947 |
5,526 |
$74K |
| K0001 |
Standard wheelchair |
4,332 |
3,778 |
$62K |
| A7032 |
Replacement nasal cushion |
1,919 |
1,777 |
$44K |
| E0143 |
Walker folding wheeled w/o s |
1,563 |
1,505 |
$42K |
| B4035 |
Enteral feed supp pump per d |
224 |
198 |
$39K |
| A7046 |
Repl water chamber, pap dev |
3,618 |
3,425 |
$30K |
| A7038 |
Pos airway pressure filter |
11,962 |
10,380 |
$26K |
| E0240 |
Bath/shower chair |
135 |
129 |
$25K |
| E0163 |
Commode chair with fixed arm |
523 |
497 |
$18K |
| E2611 |
Gen use back cush wdth <22in |
152 |
148 |
$17K |
| E0630 |
Patient lift hydraulic |
530 |
459 |
$14K |
| K0002 |
Stnd hemi (low seat) whlchr |
873 |
727 |
$14K |
| K0195 |
Elevating whlchair leg rests |
1,908 |
1,644 |
$13K |
| A7005 |
Nondisposable nebulizer set |
1,561 |
1,434 |
$13K |
| A7033 |
Replacement nasal pillows |
819 |
776 |
$13K |
| A7037 |
Pos airway pressure tubing |
1,305 |
1,204 |
$10K |
| E0185 |
Gel pressure mattress pad |
78 |
76 |
$10K |
| L4361 |
Pneuma/vac walk boot pre ots |
48 |
46 |
$10K |
| E0971 |
Wheelchair anti-tipping devi |
715 |
387 |
$9K |
| A7526 |
Tracheostomy tube collar |
108 |
95 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
38 |
37 |
$6K |
| E2601 |
Gen w/c cushion wdth < 22 in |
230 |
222 |
$6K |
| K0003 |
Lightweight wheelchair |
292 |
269 |
$6K |
| E0114 |
Crutch underarm pair no wood |
138 |
136 |
$5K |
| K0738 |
Portable gas oxygen system |
397 |
279 |
$5K |
| A4624 |
Tracheal suction tube |
42 |
37 |
$5K |
| L3809 |
Whfo w/o joints pre ots |
31 |
31 |
$5K |
| L3660 |
So 8 ab rstr can/web pre ots |
62 |
61 |
$4K |
| E0600 |
Suction pump portab hom modl |
99 |
96 |
$4K |
| A4606 |
Oxygen probe used w oximeter |
86 |
78 |
$3K |
| E0156 |
Walker seat attachment |
282 |
272 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
50 |
46 |
$2K |
| L4350 |
Ankle control ortho pre ots |
34 |
34 |
$2K |
| A7000 |
Disposable canister for pump |
157 |
142 |
$2K |
| E0961 |
Wheelchair brake extension |
96 |
65 |
$2K |
| K0006 |
Heavy duty wheelchair |
33 |
32 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
29 |
28 |
$2K |
| A4628 |
Oropharyngeal suction cath |
101 |
89 |
$1K |
| A7002 |
Tubing used w suction pump |
150 |
131 |
$1K |
| B9998 |
Enteral supp not otherwise c |
63 |
52 |
$1K |
| E1038 |
Transport chair pt wt<=300lb |
113 |
112 |
$1K |
| E0165 |
Commode chair with detacharm |
54 |
52 |
$1K |
| L3260 |
Ambulatory surgical boot eac |
41 |
41 |
$906.91 |
| E0247 |
Trans bench w/wo comm open |
13 |
12 |
$900.35 |
| L1812 |
Ko elastic w/joints pre ots |
15 |
15 |
$891.56 |
| E0245 |
Tub stool or bench |
32 |
31 |
$865.81 |
| A7507 |
Integrated filter & holder |
14 |
13 |
$854.84 |
| A6402 |
Sterile gauze <= 16 sq in |
72 |
64 |
$848.61 |
| B4088 |
Gastro/jejuno tube, low-pro |
31 |
24 |
$826.54 |
| E0973 |
W/ch access det adj armrest |
20 |
13 |
$779.63 |
| E1226 |
Manual fully reclining back |
12 |
12 |
$359.10 |
| A7039 |
Filter, non disposable w pap |
56 |
55 |
$199.69 |
| A7015 |
Aerosol mask used w nebulize |
66 |
65 |
$106.83 |
| A7003 |
Nebulizer administration set |
31 |
27 |
$52.25 |