| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,926 |
18,578 |
$1.73M |
| E0601 |
Cont airway pressure device |
8,240 |
8,157 |
$487K |
| E0570 |
Nebulizer with compression |
5,889 |
5,853 |
$275K |
| B4035 |
Enteral feed supp pump per d |
1,782 |
1,531 |
$256K |
| E0470 |
Rad w/o backup non-inv intfc |
1,959 |
1,933 |
$238K |
| E0603 |
Electric breast pump |
1,716 |
1,712 |
$232K |
| E0431 |
Portable gaseous 02 |
9,629 |
9,214 |
$218K |
| A7030 |
Cpap full face mask |
2,163 |
2,148 |
$141K |
| K0003 |
Lightweight wheelchair |
3,094 |
3,066 |
$113K |
| E0562 |
Humidifier heated used w pap |
9,137 |
9,041 |
$107K |
| E0143 |
Walker folding wheeled w/o s |
1,311 |
1,303 |
$70K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,303 |
1,289 |
$69K |
| B4150 |
Ef complet w/intact nutrient |
691 |
625 |
$64K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
412 |
351 |
$61K |
| L3908 |
Who cock-up nonmolde pre ots |
1,509 |
1,130 |
$60K |
| A4253 |
Blood glucose/reagent strips |
1,999 |
1,917 |
$50K |
| A7035 |
Pos airway press headgear |
2,509 |
2,485 |
$47K |
| A7037 |
Pos airway pressure tubing |
2,814 |
2,793 |
$47K |
| E0730 |
Tens four lead |
1,324 |
1,306 |
$46K |
| A7005 |
Nondisposable nebulizer set |
2,171 |
2,159 |
$39K |
| B4087 |
Gastro/jejuno tube, std |
880 |
790 |
$37K |
| A7034 |
Nasal application device |
757 |
752 |
$33K |
| A6530 |
Compression stocking bk18-30 |
514 |
476 |
$29K |
| E1392 |
Portable oxygen concentrator |
3,283 |
3,274 |
$22K |
| B4152 |
Ef calorie dense>/=1.5kcal |
153 |
129 |
$20K |
| A7038 |
Pos airway pressure filter |
3,346 |
3,096 |
$19K |
| A4239 |
Non-adju cgm supply allow |
71 |
68 |
$13K |
| E0261 |
Hosp bed semi-electr w/o mat |
467 |
458 |
$11K |
| A4627 |
Spacer bag/reservoir |
740 |
720 |
$11K |
| A4624 |
Tracheal suction tube |
102 |
91 |
$11K |
| A4670 |
Automatic bp monitor, dial |
160 |
160 |
$10K |
| K0738 |
Portable gas oxygen system |
964 |
961 |
$7K |
| A5120 |
Skin barrier, wipe or swab |
342 |
337 |
$6K |
| A7046 |
Repl water chamber, pap dev |
916 |
904 |
$5K |
| A4259 |
Lancets per box |
1,236 |
1,218 |
$4K |
| A7000 |
Disposable canister for pump |
392 |
383 |
$4K |
| A4629 |
Tracheostomy care kit |
54 |
48 |
$4K |
| E0990 |
Wheelchair elevating leg res |
434 |
425 |
$4K |
| K0004 |
High strength ltwt whlchr |
62 |
62 |
$3K |
| A4927 |
Non-sterile gloves |
185 |
167 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,623 |
1,600 |
$2K |
| A7003 |
Nebulizer administration set |
952 |
931 |
$2K |
| E0114 |
Crutch underarm pair no wood |
72 |
71 |
$2K |
| A4385 |
Ost skn barrier sld ext wear |
42 |
36 |
$2K |
| A7031 |
Replacement facemask interfa |
81 |
80 |
$2K |
| E0156 |
Walker seat attachment |
200 |
199 |
$2K |
| B4088 |
Gastro/jejuno tube, low-pro |
13 |
12 |
$2K |
| A7002 |
Tubing used w suction pump |
217 |
212 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
12 |
12 |
$1K |
| E0607 |
Blood glucose monitor home |
28 |
28 |
$783.43 |
| A4628 |
Oropharyngeal suction cath |
26 |
26 |
$704.32 |
| T4535 |
Disposable liner/shield/pad |
15 |
12 |
$661.64 |
| E0776 |
Iv pole |
53 |
51 |
$434.12 |
| E0149 |
Heavy duty wheeled walker |
12 |
12 |
$412.88 |
| E0971 |
Wheelchair anti-tipping devi |
79 |
53 |
$138.34 |
| E0184 |
Dry pressure mattress |
64 |
64 |
$83.58 |