| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
51,045 |
43,385 |
$2.17M |
| E0466 |
Home vent non-invasive inter |
3,889 |
3,406 |
$1.61M |
| E0601 |
Cont airway pressure device |
17,241 |
15,737 |
$823K |
| E0431 |
Portable gaseous 02 |
35,240 |
29,596 |
$594K |
| E0470 |
Rad w/o backup non-inv intfc |
3,985 |
3,600 |
$429K |
| E0603 |
Electric breast pump |
2,947 |
2,848 |
$425K |
| E0562 |
Humidifier heated used w pap |
4,567 |
3,919 |
$378K |
| A7030 |
Cpap full face mask |
6,092 |
5,154 |
$264K |
| E0260 |
Hosp bed semi-electr w/ matt |
6,702 |
5,712 |
$193K |
| K0001 |
Standard wheelchair |
7,753 |
6,881 |
$180K |
| A4604 |
Tubing with heating element |
8,587 |
7,423 |
$172K |
| E0570 |
Nebulizer with compression |
7,047 |
6,273 |
$164K |
| A7034 |
Nasal application device |
5,013 |
4,345 |
$127K |
| A7035 |
Pos airway press headgear |
7,623 |
6,730 |
$123K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,058 |
1,017 |
$106K |
| E0143 |
Walker folding wheeled w/o s |
3,848 |
3,386 |
$102K |
| A7031 |
Replacement facemask interfa |
5,807 |
4,633 |
$90K |
| E1392 |
Portable oxygen concentrator |
6,996 |
6,011 |
$88K |
| E0114 |
Crutch underarm pair no wood |
4,703 |
4,426 |
$88K |
| L3809 |
Whfo w/o joints pre ots |
907 |
853 |
$87K |
| L4350 |
Ankle control ortho pre ots |
1,718 |
1,593 |
$70K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,870 |
1,581 |
$50K |
| L3908 |
Who cock-up nonmolde pre ots |
1,628 |
1,490 |
$45K |
| L3660 |
So 8 ab rstr can/web pre ots |
1,069 |
1,004 |
$44K |
| E0163 |
Commode chair with fixed arm |
1,584 |
1,361 |
$39K |
| E0471 |
Rad w/backup non inv intrfc |
395 |
300 |
$35K |
| E0630 |
Patient lift hydraulic |
1,155 |
944 |
$33K |
| L1830 |
Ko immob canvas long pre ots |
938 |
862 |
$32K |
| A7032 |
Replacement nasal cushion |
2,444 |
2,058 |
$27K |
| A7038 |
Pos airway pressure filter |
14,405 |
11,933 |
$23K |
| A7037 |
Pos airway pressure tubing |
1,827 |
1,625 |
$23K |
| E0247 |
Trans bench w/wo comm open |
652 |
472 |
$22K |
| A7033 |
Replacement nasal pillows |
2,062 |
1,707 |
$21K |
| K0006 |
Heavy duty wheelchair |
602 |
512 |
$21K |
| E0149 |
Heavy duty wheeled walker |
802 |
679 |
$21K |
| A7039 |
Filter, non disposable w pap |
2,547 |
2,270 |
$18K |
| A7005 |
Nondisposable nebulizer set |
1,537 |
1,388 |
$18K |
| K0195 |
Elevating whlchair leg rests |
3,198 |
2,614 |
$17K |
| E0245 |
Tub stool or bench |
543 |
452 |
$15K |
| A4670 |
Automatic bp monitor, dial |
369 |
342 |
$13K |
| L1812 |
Ko elastic w/joints pre ots |
332 |
296 |
$11K |
| E2611 |
Gen use back cush wdth <22in |
80 |
75 |
$7K |
| E0600 |
Suction pump portab hom modl |
217 |
163 |
$6K |
| L4360 |
Pneumat walking boot pre cst |
55 |
54 |
$6K |
| K0007 |
Extra heavy duty wheelchair |
90 |
75 |
$5K |
| E0156 |
Walker seat attachment |
967 |
841 |
$5K |
| A7046 |
Repl water chamber, pap dev |
2,458 |
2,049 |
$4K |
| E2601 |
Gen w/c cushion wdth < 22 in |
222 |
197 |
$4K |
| E0971 |
Wheelchair anti-tipping devi |
332 |
192 |
$3K |
| E0434 |
Portable liquid 02 |
229 |
147 |
$3K |
| L3260 |
Ambulatory surgical boot eac |
321 |
308 |
$2K |
| K0003 |
Lightweight wheelchair |
79 |
78 |
$2K |
| E0185 |
Gel pressure mattress pad |
55 |
48 |
$2K |
| E0240 |
Bath/shower chair |
94 |
75 |
$2K |
| E0261 |
Hosp bed semi-electr w/o mat |
53 |
51 |
$1K |
| E0165 |
Commode chair with detacharm |
41 |
40 |
$1K |
| L1820 |
Ko elas w/ condyle pads & jo |
14 |
14 |
$764.80 |
| K0738 |
Portable gas oxygen system |
47 |
36 |
$608.18 |
| A7003 |
Nebulizer administration set |
283 |
267 |
$484.81 |
| E0961 |
Wheelchair brake extension |
60 |
40 |
$404.42 |
| A7036 |
Pos airway press chinstrap |
13 |
13 |
$77.49 |
| E1038 |
Transport chair pt wt<=300lb |
17 |
14 |
$44.20 |