| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,533 |
8,617 |
$605K |
| E0570 |
Nebulizer with compression |
5,420 |
4,811 |
$273K |
| E0601 |
Cont airway pressure device |
3,705 |
3,383 |
$242K |
| T4527 |
Adult size pull-on lg |
1,232 |
1,189 |
$101K |
| A7034 |
Nasal application device |
1,560 |
1,414 |
$85K |
| A4604 |
Tubing with heating element |
2,482 |
2,281 |
$77K |
| A7030 |
Cpap full face mask |
992 |
900 |
$76K |
| E0431 |
Portable gaseous 02 |
6,376 |
5,776 |
$74K |
| A7005 |
Nondisposable nebulizer set |
2,563 |
2,471 |
$63K |
| A4927 |
Non-sterile gloves |
5,590 |
4,779 |
$60K |
| E0562 |
Humidifier heated used w pap |
389 |
359 |
$55K |
| A7035 |
Pos airway press headgear |
2,461 |
2,262 |
$48K |
| T4537 |
Reusable underpad bed size |
1,309 |
1,268 |
$48K |
| T4526 |
Adult size pull-on med |
570 |
545 |
$44K |
| T4541 |
Large disposable underpad |
1,234 |
1,172 |
$39K |
| T4528 |
Adult size pull-on xl |
472 |
453 |
$38K |
| K0001 |
Standard wheelchair |
2,552 |
2,032 |
$37K |
| T4535 |
Disposable liner/shield/pad |
819 |
759 |
$32K |
| A7038 |
Pos airway pressure filter |
3,461 |
3,145 |
$21K |
| E1392 |
Portable oxygen concentrator |
1,147 |
1,079 |
$21K |
| E0470 |
Rad w/o backup non-inv intfc |
230 |
203 |
$19K |
| E0294 |
Hosp bed semi-elect w/ mattr |
350 |
345 |
$15K |
| A7031 |
Replacement facemask interfa |
473 |
398 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
169 |
147 |
$8K |
| E0600 |
Suction pump portab hom modl |
189 |
154 |
$8K |
| A7046 |
Repl water chamber, pap dev |
757 |
702 |
$8K |
| T4544 |
Adlt disp und/pull on abv xl |
44 |
42 |
$6K |
| T4523 |
Adult size brief/diaper lg |
77 |
77 |
$6K |
| A7039 |
Filter, non disposable w pap |
809 |
731 |
$6K |
| T4534 |
Youth size pull-on |
75 |
69 |
$5K |
| A7032 |
Replacement nasal cushion |
223 |
195 |
$5K |
| E0260 |
Hosp bed semi-electr w/ matt |
316 |
297 |
$3K |
| T4525 |
Adult size pull-on sm |
39 |
37 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,325 |
1,289 |
$2K |
| T4530 |
Ped size brief/diaper lg |
37 |
36 |
$2K |
| A7000 |
Disposable canister for pump |
84 |
74 |
$2K |
| A7002 |
Tubing used w suction pump |
107 |
90 |
$2K |
| E1028 |
W/c manual swingaway |
31 |
26 |
$1K |
| T4522 |
Adult size brief/diaper med |
12 |
12 |
$801.19 |
| A7033 |
Replacement nasal pillows |
27 |
25 |
$759.55 |
| A7037 |
Pos airway pressure tubing |
33 |
28 |
$533.88 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$523.86 |
| A7003 |
Nebulizer administration set |
527 |
507 |
$365.99 |
| E0156 |
Walker seat attachment |
17 |
12 |
$120.04 |
| E2201 |
Man w/ch acc seat w>=20"<24" |
17 |
12 |
$91.04 |