| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
38,188 |
33,120 |
$2.00M |
| E0466 |
Home vent non-invasive inter |
5,836 |
4,916 |
$1.65M |
| E0601 |
Cont airway pressure device |
23,913 |
20,761 |
$902K |
| A7030 |
Cpap full face mask |
7,295 |
6,081 |
$436K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,933 |
1,678 |
$351K |
| E0562 |
Humidifier heated used w pap |
12,004 |
10,512 |
$300K |
| A7034 |
Nasal application device |
7,298 |
6,191 |
$292K |
| E0431 |
Portable gaseous 02 |
22,776 |
19,847 |
$245K |
| E0470 |
Rad w/o backup non-inv intfc |
2,631 |
2,243 |
$225K |
| E0570 |
Nebulizer with compression |
6,635 |
5,739 |
$219K |
| A4604 |
Tubing with heating element |
7,413 |
6,287 |
$175K |
| A7031 |
Replacement facemask interfa |
6,463 |
5,209 |
$155K |
| L3809 |
Whfo w/o joints pre ots |
779 |
661 |
$140K |
| L4360 |
Pneumat walking boot pre cst |
718 |
622 |
$137K |
| A7032 |
Replacement nasal cushion |
5,719 |
4,650 |
$127K |
| L3908 |
Who cock-up nonmolde pre ots |
2,665 |
2,111 |
$126K |
| A7035 |
Pos airway press headgear |
9,739 |
8,157 |
$124K |
| E0114 |
Crutch underarm pair no wood |
2,382 |
2,057 |
$99K |
| A7037 |
Pos airway pressure tubing |
6,803 |
5,687 |
$76K |
| E1240 |
Whchr litwt det arm leg rest |
716 |
595 |
$57K |
| L3670 |
So acro/clav can web pre ots |
650 |
567 |
$55K |
| A7038 |
Pos airway pressure filter |
19,529 |
15,856 |
$55K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,898 |
2,256 |
$53K |
| E0143 |
Walker folding wheeled w/o s |
1,422 |
1,155 |
$46K |
| E1392 |
Portable oxygen concentrator |
2,172 |
1,939 |
$40K |
| A7005 |
Nondisposable nebulizer set |
3,164 |
2,551 |
$39K |
| L4350 |
Ankle control ortho pre ots |
534 |
458 |
$35K |
| A7046 |
Repl water chamber, pap dev |
3,390 |
2,884 |
$26K |
| E1092 |
Wheelchair wide w/ leg rests |
268 |
237 |
$24K |
| A7039 |
Filter, non disposable w pap |
5,143 |
4,411 |
$23K |
| A7033 |
Replacement nasal pillows |
1,184 |
994 |
$21K |
| L1902 |
Afo ankle gauntlet pre ots |
340 |
274 |
$20K |
| E1130 |
Whlchr stand fxd arm ft rest |
1,228 |
1,069 |
$18K |
| L3807 |
Whfo w/o joints pre cst |
80 |
61 |
$11K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
753 |
592 |
$11K |
| L1830 |
Ko immob canvas long pre ots |
158 |
133 |
$9K |
| E0973 |
W/ch access det adj armrest |
5,747 |
2,028 |
$7K |
| L3260 |
Ambulatory surgical boot eac |
599 |
335 |
$7K |
| E0250 |
Hosp bed fixed ht w/ mattres |
611 |
536 |
$7K |
| L1820 |
Ko elas w/ condyle pads & jo |
59 |
54 |
$7K |
| E0630 |
Patient lift hydraulic |
330 |
241 |
$5K |
| K0001 |
Standard wheelchair |
4,420 |
3,001 |
$5K |
| L1812 |
Ko elastic w/joints pre ots |
48 |
42 |
$3K |
| E0185 |
Gel pressure mattress pad |
52 |
37 |
$3K |
| E2611 |
Gen use back cush wdth <22in |
31 |
27 |
$2K |
| K0006 |
Heavy duty wheelchair |
95 |
77 |
$1K |
| E0951 |
Loop heel |
3,361 |
1,224 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
1,290 |
478 |
$1K |
| L1906 |
Afo multilig ank sup pre ots |
28 |
12 |
$1K |
| K0195 |
Elevating whlchair leg rests |
1,862 |
1,219 |
$967.72 |
| E0990 |
Wheelchair elevating leg res |
122 |
98 |
$849.10 |
| E2601 |
Gen w/c cushion wdth < 22 in |
48 |
40 |
$790.66 |
| A7003 |
Nebulizer administration set |
3,278 |
2,601 |
$758.23 |
| K0003 |
Lightweight wheelchair |
338 |
201 |
$696.24 |
| E1270 |
Wheelchair lightweight leg r |
27 |
26 |
$667.36 |
| E0961 |
Wheelchair brake extension |
874 |
332 |
$527.28 |
| E0163 |
Commode chair with fixed arm |
20 |
15 |
$445.87 |