| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,319 |
5,639 |
$472K |
| E0601 |
Cont airway pressure device |
6,051 |
5,745 |
$288K |
| K0001 |
Standard wheelchair |
7,616 |
6,815 |
$191K |
| A7030 |
Cpap full face mask |
1,421 |
1,345 |
$127K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,072 |
2,652 |
$126K |
| A4604 |
Tubing with heating element |
2,779 |
2,605 |
$119K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
618 |
580 |
$104K |
| E0114 |
Crutch underarm pair no wood |
3,419 |
3,220 |
$94K |
| L4350 |
Ankle control ortho pre ots |
1,126 |
1,057 |
$88K |
| L4361 |
Pneuma/vac walk boot pre ots |
359 |
330 |
$88K |
| A7031 |
Replacement facemask interfa |
1,629 |
1,524 |
$85K |
| T4534 |
Youth size pull-on |
776 |
669 |
$76K |
| K0738 |
Portable gas oxygen system |
2,646 |
2,408 |
$71K |
| L3670 |
So acro/clav can web pre ots |
670 |
613 |
$56K |
| L1830 |
Ko immob canvas long pre ots |
733 |
677 |
$50K |
| A7035 |
Pos airway press headgear |
2,102 |
1,962 |
$49K |
| E0570 |
Nebulizer with compression |
1,286 |
1,106 |
$44K |
| E0562 |
Humidifier heated used w pap |
273 |
261 |
$43K |
| A7038 |
Pos airway pressure filter |
3,600 |
3,359 |
$42K |
| A7034 |
Nasal application device |
623 |
568 |
$36K |
| E0431 |
Portable gaseous 02 |
2,024 |
1,745 |
$35K |
| K0195 |
Elevating whlchair leg rests |
3,616 |
3,320 |
$35K |
| T4526 |
Adult size pull-on med |
386 |
308 |
$33K |
| T4541 |
Large disposable underpad |
835 |
666 |
$32K |
| L3908 |
Who cock-up nonmolde pre ots |
400 |
357 |
$21K |
| A7046 |
Repl water chamber, pap dev |
1,252 |
1,177 |
$18K |
| T4527 |
Adult size pull-on lg |
181 |
140 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
228 |
207 |
$11K |
| A7005 |
Nondisposable nebulizer set |
503 |
476 |
$11K |
| A7032 |
Replacement nasal cushion |
217 |
203 |
$9K |
| L3807 |
Whfo w/o joints pre cst |
37 |
32 |
$7K |
| E1038 |
Transport chair pt wt<=300lb |
642 |
593 |
$6K |
| E0600 |
Suction pump portab hom modl |
201 |
196 |
$6K |
| B4150 |
Ef complet w/intact nutrient |
53 |
52 |
$5K |
| E0245 |
Tub stool or bench |
119 |
105 |
$4K |
| E0971 |
Wheelchair anti-tipping devi |
1,078 |
958 |
$4K |
| L3660 |
So 8 ab rstr can/web pre ots |
64 |
63 |
$4K |
| K0823 |
Pwc gp 2 std cap chair |
57 |
50 |
$4K |
| T4535 |
Disposable liner/shield/pad |
51 |
48 |
$3K |
| T4528 |
Adult size pull-on xl |
30 |
25 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
201 |
194 |
$2K |
| A4520 |
Incontinence garment anytype |
181 |
154 |
$2K |
| A7033 |
Replacement nasal pillows |
27 |
26 |
$2K |
| E0978 |
W/c acc,saf belt pelv strap |
457 |
418 |
$1K |
| A4627 |
Spacer bag/reservoir |
63 |
57 |
$636.55 |
| E0156 |
Walker seat attachment |
29 |
26 |
$349.63 |
| L3260 |
Ambulatory surgical boot eac |
13 |
13 |
$120.40 |