| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
72,755 |
62,485 |
$1.50M |
| E0601 |
Cont airway pressure device |
12,093 |
10,947 |
$186K |
| A7030 |
Cpap full face mask |
6,886 |
5,876 |
$175K |
| E0570 |
Nebulizer with compression |
10,637 |
9,443 |
$128K |
| E0260 |
Hosp bed semi-electr w/ matt |
9,310 |
8,046 |
$110K |
| E0431 |
Portable gaseous 02 |
25,265 |
21,698 |
$109K |
| A4604 |
Tubing with heating element |
8,095 |
6,952 |
$91K |
| E1392 |
Portable oxygen concentrator |
17,695 |
14,944 |
$90K |
| K0001 |
Standard wheelchair |
14,115 |
12,266 |
$84K |
| A7034 |
Nasal application device |
4,469 |
3,912 |
$74K |
| E0562 |
Humidifier heated used w pap |
14,406 |
12,960 |
$71K |
| K0823 |
Pwc gp 2 std cap chair |
914 |
818 |
$65K |
| E0470 |
Rad w/o backup non-inv intfc |
1,838 |
1,617 |
$61K |
| E0118 |
Crutch substitute |
1,558 |
1,427 |
$59K |
| A4239 |
Non-adju cgm supply allow |
530 |
329 |
$38K |
| A7031 |
Replacement facemask interfa |
4,184 |
3,538 |
$37K |
| A5512 |
Multi den insert direct form |
3,431 |
1,969 |
$36K |
| A7035 |
Pos airway press headgear |
6,070 |
5,231 |
$33K |
| A5500 |
Diab shoe for density insert |
3,456 |
1,981 |
$33K |
| E0143 |
Walker folding wheeled w/o s |
1,971 |
1,808 |
$23K |
| E0630 |
Patient lift hydraulic |
1,742 |
1,561 |
$21K |
| A7032 |
Replacement nasal cushion |
2,046 |
1,790 |
$19K |
| A7038 |
Pos airway pressure filter |
12,446 |
10,753 |
$19K |
| K0006 |
Heavy duty wheelchair |
839 |
724 |
$15K |
| A7037 |
Pos airway pressure tubing |
3,002 |
2,620 |
$12K |
| A7003 |
Nebulizer administration set |
7,675 |
6,919 |
$9K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
12 |
12 |
$8K |
| L3908 |
Who cock-up nonmolde pre ots |
427 |
326 |
$8K |
| E0163 |
Commode chair with fixed arm |
776 |
654 |
$8K |
| A7046 |
Repl water chamber, pap dev |
2,527 |
2,156 |
$8K |
| A7033 |
Replacement nasal pillows |
1,193 |
1,008 |
$7K |
| T2029 |
Special med equip, noswaiver |
46 |
27 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
185 |
160 |
$6K |
| K0195 |
Elevating whlchair leg rests |
1,628 |
1,452 |
$5K |
| E0156 |
Walker seat attachment |
1,685 |
1,488 |
$4K |
| L1810 |
Ko elastic with joints |
107 |
85 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
6,244 |
5,607 |
$3K |
| E0185 |
Gel pressure mattress pad |
70 |
63 |
$2K |
| L4361 |
Pneuma/vac walk boot pre ots |
12 |
12 |
$2K |
| E0303 |
Hosp bed hvy dty xtra wide |
65 |
49 |
$2K |
| E0149 |
Heavy duty wheeled walker |
342 |
296 |
$2K |
| E1038 |
Transport chair pt wt<=300lb |
814 |
645 |
$2K |
| E0910 |
Trapeze bar attached to bed |
671 |
609 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
14 |
14 |
$975.83 |
| K0003 |
Lightweight wheelchair |
73 |
65 |
$930.04 |
| E2601 |
Gen w/c cushion wdth < 22 in |
125 |
99 |
$864.31 |
| E0973 |
W/ch access det adj armrest |
220 |
100 |
$859.86 |
| E2611 |
Gen use back cush wdth <22in |
41 |
31 |
$854.71 |
| E0114 |
Crutch underarm pair no wood |
27 |
25 |
$660.87 |
| A7036 |
Pos airway press chinstrap |
97 |
87 |
$235.37 |
| A7039 |
Filter, non disposable w pap |
80 |
66 |
$106.40 |
| E0443 |
Portable 02 contents, gas |
24 |
24 |
$66.18 |
| E0165 |
Commode chair with detacharm |
12 |
12 |
$19.49 |