| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
318,485 |
306,269 |
$19.79M |
| E0601 |
Cont airway pressure device |
80,225 |
78,586 |
$13.36M |
| E0260 |
Hosp bed semi-electr w/ matt |
124,137 |
121,181 |
$8.58M |
| E0465 |
Home vent invasive interface |
7,245 |
6,165 |
$7.74M |
| E2402 |
Neg press wound therapy pump |
75,214 |
7,427 |
$7.24M |
| E0466 |
Home vent non-invasive inter |
14,594 |
13,953 |
$6.67M |
| K0001 |
Standard wheelchair |
213,322 |
208,561 |
$6.39M |
| E0562 |
Humidifier heated used w pap |
52,353 |
51,450 |
$6.05M |
| A7030 |
Cpap full face mask |
55,644 |
54,443 |
$5.18M |
| E0470 |
Rad w/o backup non-inv intfc |
11,936 |
11,452 |
$4.80M |
| A7034 |
Nasal application device |
91,039 |
89,284 |
$4.61M |
| E0471 |
Rad w/backup non inv intrfc |
17,455 |
17,056 |
$4.38M |
| E0143 |
Walker folding wheeled w/o s |
79,013 |
77,463 |
$4.37M |
| E0570 |
Nebulizer with compression |
55,050 |
54,555 |
$4.02M |
| B4035 |
Enteral feed supp pump per d |
25,330 |
24,042 |
$3.30M |
| K0003 |
Lightweight wheelchair |
64,009 |
62,667 |
$2.88M |
| E0604 |
Hosp grade elec breast pump |
90,095 |
88,984 |
$2.73M |
| A7032 |
Replacement nasal cushion |
30,552 |
30,000 |
$2.47M |
| E0163 |
Commode chair with fixed arm |
30,101 |
29,840 |
$2.28M |
| A7035 |
Pos airway press headgear |
124,456 |
121,341 |
$2.12M |
| B4153 |
Ef hydrolyzed/amino acids |
4,721 |
4,494 |
$2.12M |
| E0630 |
Patient lift hydraulic |
35,570 |
34,671 |
$2.11M |
| K0738 |
Portable gas oxygen system |
114,989 |
111,979 |
$2.10M |
| A7031 |
Replacement facemask interfa |
32,164 |
31,465 |
$2.07M |
| E0431 |
Portable gaseous 02 |
135,617 |
128,426 |
$2.07M |
| B4161 |
Ef ped hydrolyzed/amino acid |
6,477 |
5,876 |
$1.97M |
| B4034 |
Enter feed supkit syr by day |
24,641 |
23,874 |
$1.94M |
| K0007 |
Extra heavy duty wheelchair |
21,003 |
20,497 |
$1.90M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
8,639 |
8,113 |
$1.82M |
| B9998 |
Enteral supp not otherwise c |
21,981 |
21,218 |
$1.80M |
| B4149 |
Ef blenderized foods |
6,557 |
6,160 |
$1.69M |
| E1399 |
Durable medical equipment mi |
3,045 |
2,890 |
$1.65M |
| B4150 |
Ef complet w/intact nutrient |
11,880 |
11,014 |
$1.62M |
| A7037 |
Pos airway pressure tubing |
95,643 |
94,460 |
$1.60M |
| E1392 |
Portable oxygen concentrator |
44,883 |
43,629 |
$1.56M |
| E0652 |
Pneum compres w/cal pressure |
3,836 |
3,345 |
$1.48M |
| A7033 |
Replacement nasal pillows |
23,913 |
23,440 |
$1.40M |
| B4154 |
Ef spec metabolic noninherit |
5,551 |
5,204 |
$1.39M |
| A7038 |
Pos airway pressure filter |
112,767 |
110,321 |
$1.28M |
| E0781 |
External ambulatory infus pu |
9,176 |
8,813 |
$1.17M |
| K0006 |
Heavy duty wheelchair |
15,794 |
15,492 |
$971K |
| B4152 |
Ef calorie dense>/=1.5kcal |
7,772 |
7,158 |
$907K |
| E1060 |
Wheelchair detachable arms |
13,752 |
13,445 |
$873K |
| A4623 |
Tracheostomy inner cannula |
5,388 |
4,868 |
$841K |
| E0265 |
Hosp bed total electr w/ mat |
6,690 |
6,548 |
$775K |
| E0185 |
Gel pressure mattress pad |
23,261 |
22,248 |
$759K |
| E0240 |
Bath/shower chair |
27,894 |
27,728 |
$741K |
| E0600 |
Suction pump portab hom modl |
23,174 |
22,440 |
$699K |
| E0424 |
Stationary compressed gas 02 |
8,057 |
7,782 |
$688K |
| E0830 |
Ambulatory traction device |
5,827 |
5,716 |
$674K |
| A9900 |
Supply/accessory/service |
23,391 |
23,164 |
$665K |
| E1038 |
Transport chair pt wt<=300lb |
62,177 |
60,879 |
$653K |
| A4624 |
Tracheal suction tube |
7,290 |
6,611 |
$637K |
| E0445 |
Oximeter non-invasive |
4,341 |
4,193 |
$620K |
| A7046 |
Repl water chamber, pap dev |
57,349 |
56,646 |
$525K |
| E0247 |
Trans bench w/wo comm open |
6,100 |
6,024 |
$522K |
| E0202 |
Phototherapy light w/ photom |
4,008 |
3,897 |
$513K |
| A4604 |
Tubing with heating element |
17,027 |
16,570 |
$504K |
| B9002 |
Enter nutr inf pump any type |
17,719 |
17,226 |
$433K |
| A7520 |
Trach/laryn tube non-cuffed |
6,534 |
5,891 |
$405K |
| E0181 |
Press pad alternating w/ pum |
24,128 |
23,580 |
$385K |
| B4088 |
Gastro/jejuno tube, low-pro |
15,214 |
14,870 |
$379K |
| E0165 |
Commode chair with detacharm |
2,342 |
2,325 |
$359K |
| E0482 |
Cough stimulating device |
2,287 |
2,232 |
$356K |
| E0776 |
Iv pole |
21,801 |
21,227 |
$346K |
| E0849 |
Cervical pneum trac equip |
8,267 |
8,146 |
$338K |
| E0651 |
Pneum compressor segmental |
6,047 |
5,903 |
$325K |
| A4483 |
Moisture exchanger |
3,672 |
3,329 |
$321K |
| E0156 |
Walker seat attachment |
23,763 |
23,472 |
$315K |
| A7526 |
Tracheostomy tube collar |
8,847 |
8,103 |
$295K |
| S5180 |
Hh respiratory thrpy in eval |
5,638 |
5,526 |
$292K |
| B4036 |
Enteral feed sup kit grav by |
3,711 |
3,470 |
$283K |
| A7005 |
Nondisposable nebulizer set |
12,253 |
11,910 |
$244K |
| E0245 |
Tub stool or bench |
5,076 |
5,048 |
$225K |
| A6550 |
Neg pres wound ther drsg set |
1,473 |
1,011 |
$220K |
| A4628 |
Oropharyngeal suction cath |
8,053 |
7,326 |
$216K |
| E2601 |
Gen w/c cushion wdth < 22 in |
6,661 |
6,536 |
$209K |
| A4629 |
Tracheostomy care kit |
3,209 |
3,000 |
$208K |
| E0197 |
Air pressure pad for mattres |
1,487 |
1,481 |
$192K |
| E0244 |
Toilet seat raised |
5,905 |
5,864 |
$180K |
| E0241 |
Bath tub wall rail |
8,507 |
8,245 |
$151K |
| A6402 |
Sterile gauze <= 16 sq in |
18,349 |
16,627 |
$141K |
| B4155 |
Ef incomplete/modular |
2,684 |
2,511 |
$141K |
| E0100 |
Cane adjust/fixed with tip |
10,790 |
10,731 |
$130K |
| E0105 |
Cane adjust/fixed quad/3 pro |
4,669 |
4,620 |
$130K |
| E0635 |
Patient lift electric |
1,549 |
1,537 |
$128K |
| A4216 |
Sterile water/saline, 10 ml |
3,529 |
3,333 |
$123K |
| E2603 |
Skin protect wc cus wd <22in |
1,718 |
1,709 |
$118K |
| A4605 |
Trach suction cath close sys |
736 |
663 |
$110K |
| E0565 |
Compressor air power source |
3,414 |
3,315 |
$107K |
| E0910 |
Trapeze bar attached to bed |
12,004 |
11,760 |
$106K |
| E0248 |
Hdtrans bench w/wo comm open |
250 |
248 |
$98K |
| E0274 |
Over-bed table |
7,961 |
7,768 |
$93K |
| E0619 |
Apnea monitor w recorder |
744 |
708 |
$92K |
| A4217 |
Sterile water/saline, 500 ml |
2,882 |
2,624 |
$91K |
| K0002 |
Stnd hemi (low seat) whlchr |
2,402 |
2,357 |
$91K |
| E0443 |
Portable 02 contents, gas |
3,230 |
3,181 |
$83K |
| A7521 |
Trach/laryn tube cuffed |
1,790 |
1,616 |
$83K |
| A7000 |
Disposable canister for pump |
3,526 |
2,712 |
$80K |
| A4618 |
Breathing circuits |
2,883 |
2,456 |
$70K |
| L8501 |
Tracheostomy speaking valve |
957 |
909 |
$65K |
| A7036 |
Pos airway press chinstrap |
8,017 |
7,899 |
$64K |
| E0705 |
Transfer device |
2,115 |
2,069 |
$64K |
| E0135 |
Walker folding adjust/fixed |
1,448 |
1,437 |
$64K |
| E0246 |
Transfer tub rail attachment |
1,505 |
1,500 |
$59K |
| A7507 |
Integrated filter & holder |
602 |
535 |
$56K |
| E0277 |
Powered pres-redu air mattrs |
282 |
251 |
$53K |
| E0114 |
Crutch underarm pair no wood |
1,974 |
1,956 |
$53K |
| E0295 |
Hosp bed semi-elect w/o matt |
1,670 |
1,633 |
$50K |
| E0971 |
Wheelchair anti-tipping devi |
683 |
666 |
$48K |
| E0621 |
Patient lift sling or seat |
798 |
779 |
$44K |
| A7039 |
Filter, non disposable w pap |
7,367 |
7,232 |
$36K |
| E0940 |
Trapeze bar free standing |
2,195 |
2,145 |
$35K |
| E0303 |
Hosp bed hvy dty xtra wide |
289 |
287 |
$35K |
| A7525 |
Tracheostomy mask |
3,583 |
3,387 |
$34K |
| E0439 |
Stationary liquid 02 |
461 |
393 |
$29K |
| A7015 |
Aerosol mask used w nebulize |
20,542 |
20,222 |
$25K |
| E0484 |
Non-elec oscillatory pep dvc |
348 |
345 |
$24K |
| E0154 |
Walker platform attachment |
477 |
469 |
$24K |
| A7010 |
Disposable corrugated tubing |
1,243 |
1,185 |
$20K |
| E0978 |
W/c acc,saf belt pelv strap |
1,093 |
1,081 |
$20K |
| E0243 |
Toilet rail |
638 |
634 |
$19K |
| A9999 |
Dme supply or accessory, nos |
433 |
391 |
$18K |
| E0110 |
Crutch forearm pair |
289 |
289 |
$15K |
| A7003 |
Nebulizer administration set |
6,746 |
6,433 |
$15K |
| B4158 |
Ef ped complete intact nut |
1,100 |
988 |
$15K |
| A7002 |
Tubing used w suction pump |
3,040 |
2,867 |
$14K |
| E0184 |
Dry pressure mattress |
1,302 |
1,279 |
$13K |
| A7007 |
Lg vol nebulizer disposable |
2,108 |
1,986 |
$13K |
| E0442 |
Stationary o2 contents, liq |
315 |
314 |
$11K |
| A4606 |
Oxygen probe used w oximeter |
122 |
99 |
$11K |
| K0004 |
High strength ltwt whlchr |
340 |
326 |
$11K |
| E0199 |
Dry pressure pad for mattres |
576 |
575 |
$10K |
| E2602 |
Gen w/c cushion wdth >=22 in |
148 |
148 |
$10K |
| B4087 |
Gastro/jejuno tube, std |
336 |
334 |
$10K |
| A4450 |
Non-waterproof tape |
2,329 |
2,271 |
$9K |
| A6216 |
Non-sterile gauze<=16 sq in |
325 |
320 |
$9K |
| E0147 |
Walker variable wheel resist |
25 |
25 |
$9K |
| A7012 |
Nebulizer water collec devic |
1,796 |
1,694 |
$8K |
| A4452 |
Waterproof tape |
716 |
706 |
$8K |
| E0444 |
Portable 02 contents, liquid |
213 |
212 |
$8K |
| E0191 |
Protector heel or elbow |
206 |
205 |
$7K |
| A7013 |
Disposable compressor filter |
9,270 |
9,066 |
$7K |
| E1140 |
Wheelchair standard detach a |
763 |
705 |
$6K |
| A4625 |
Trach care kit for new trach |
119 |
102 |
$6K |
| E2208 |
Cylinder tank carrier |
315 |
313 |
$6K |
| E1356 |
Batt pack/cart, port conc |
163 |
156 |
$6K |
| E0271 |
Mattress innerspring |
714 |
696 |
$5K |
| B4103 |
Ef ped fluid and electrolyte |
29 |
25 |
$4K |
| A4660 |
Sphyg/bp app w cuff and stet |
53 |
53 |
$4K |
| E1150 |
Wheelchair standard w/ leg r |
114 |
110 |
$3K |
| E0305 |
Rails bed side half length |
752 |
739 |
$3K |
| A4211 |
Supp for self-adm injections |
442 |
418 |
$3K |
| E0434 |
Portable liquid 02 |
283 |
260 |
$2K |
| E1093 |
Wheelchair wide w/ foot rest |
24 |
24 |
$2K |
| E0310 |
Rails bed side full length |
323 |
320 |
$2K |
| E0325 |
Urinal male jug-type |
249 |
244 |
$2K |
| K0195 |
Elevating whlchair leg rests |
157 |
157 |
$2K |
| E0961 |
Wheelchair brake extension |
50 |
50 |
$1K |
| E0990 |
Wheelchair elevating leg res |
53 |
51 |
$942.93 |
| E0603 |
Electric breast pump |
12 |
12 |
$726.46 |
| E0730 |
Tens four lead |
28 |
27 |
$692.90 |