| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
33,872 |
30,439 |
$1.34M |
| E0431 |
Portable gaseous 02 |
23,489 |
21,368 |
$336K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,032 |
6,038 |
$251K |
| E0466 |
Home vent non-invasive inter |
628 |
597 |
$240K |
| E0601 |
Cont airway pressure device |
6,778 |
5,945 |
$195K |
| K0001 |
Standard wheelchair |
9,246 |
8,225 |
$194K |
| E0470 |
Rad w/o backup non-inv intfc |
1,455 |
1,290 |
$101K |
| A7030 |
Cpap full face mask |
3,319 |
2,884 |
$100K |
| E0630 |
Patient lift hydraulic |
1,640 |
1,447 |
$72K |
| E0562 |
Humidifier heated used w pap |
1,562 |
1,339 |
$64K |
| A7034 |
Nasal application device |
3,145 |
2,772 |
$49K |
| K0003 |
Lightweight wheelchair |
1,178 |
1,063 |
$47K |
| E0570 |
Nebulizer with compression |
5,073 |
4,578 |
$45K |
| A7031 |
Replacement facemask interfa |
2,753 |
2,364 |
$43K |
| E0143 |
Walker folding wheeled w/o s |
1,758 |
1,554 |
$40K |
| A7035 |
Pos airway press headgear |
4,379 |
3,837 |
$36K |
| E0973 |
W/ch access det adj armrest |
7,553 |
3,290 |
$34K |
| E2611 |
Gen use back cush wdth <22in |
325 |
268 |
$34K |
| E0250 |
Hosp bed fixed ht w/ mattres |
2,094 |
1,816 |
$33K |
| A4604 |
Tubing with heating element |
2,699 |
2,363 |
$32K |
| E0303 |
Hosp bed hvy dty xtra wide |
294 |
281 |
$27K |
| E1392 |
Portable oxygen concentrator |
1,612 |
1,492 |
$21K |
| K0007 |
Extra heavy duty wheelchair |
186 |
177 |
$21K |
| A7037 |
Pos airway pressure tubing |
3,494 |
3,077 |
$20K |
| A7033 |
Replacement nasal pillows |
989 |
874 |
$19K |
| A7032 |
Replacement nasal cushion |
934 |
837 |
$19K |
| K0002 |
Stnd hemi (low seat) whlchr |
898 |
714 |
$18K |
| K0006 |
Heavy duty wheelchair |
273 |
248 |
$18K |
| E0185 |
Gel pressure mattress pad |
593 |
538 |
$16K |
| E0971 |
Wheelchair anti-tipping devi |
7,340 |
3,210 |
$16K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
1,044 |
857 |
$16K |
| A7038 |
Pos airway pressure filter |
6,957 |
6,004 |
$15K |
| E2601 |
Gen w/c cushion wdth < 22 in |
570 |
491 |
$12K |
| E0990 |
Wheelchair elevating leg res |
875 |
713 |
$11K |
| A7039 |
Filter, non disposable w pap |
2,330 |
2,068 |
$9K |
| E0163 |
Commode chair with fixed arm |
406 |
359 |
$9K |
| A4239 |
Non-adju cgm supply allow |
88 |
79 |
$8K |
| E0149 |
Heavy duty wheeled walker |
527 |
472 |
$8K |
| E0961 |
Wheelchair brake extension |
5,871 |
2,587 |
$7K |
| E0951 |
Loop heel |
6,753 |
2,980 |
$7K |
| K0195 |
Elevating whlchair leg rests |
1,850 |
1,675 |
$7K |
| E0978 |
W/c acc,saf belt pelv strap |
3,179 |
2,739 |
$5K |
| A7005 |
Nondisposable nebulizer set |
424 |
386 |
$4K |
| A7046 |
Repl water chamber, pap dev |
1,854 |
1,674 |
$3K |
| E0165 |
Commode chair with detacharm |
176 |
165 |
$2K |
| E0277 |
Powered pres-redu air mattrs |
30 |
26 |
$2K |
| A4629 |
Tracheostomy care kit |
26 |
24 |
$1K |
| E0181 |
Press pad alternating w/ pum |
69 |
67 |
$854.38 |
| E0600 |
Suction pump portab hom modl |
13 |
12 |
$760.59 |
| E0156 |
Walker seat attachment |
142 |
128 |
$760.54 |
| E0245 |
Tub stool or bench |
29 |
28 |
$679.25 |
| A7003 |
Nebulizer administration set |
775 |
644 |
$508.91 |