| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
51,684 |
48,563 |
$2.60M |
| E0466 |
Home vent non-invasive inter |
2,567 |
2,420 |
$1.36M |
| E0570 |
Nebulizer with compression |
7,347 |
6,970 |
$412K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,485 |
1,432 |
$285K |
| E0601 |
Cont airway pressure device |
6,414 |
6,117 |
$229K |
| E0431 |
Portable gaseous 02 |
16,612 |
15,431 |
$173K |
| E0562 |
Humidifier heated used w pap |
2,393 |
2,217 |
$102K |
| A7030 |
Cpap full face mask |
1,835 |
1,775 |
$97K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,171 |
3,015 |
$94K |
| E1392 |
Portable oxygen concentrator |
3,571 |
3,283 |
$74K |
| A7031 |
Replacement facemask interfa |
2,700 |
2,635 |
$63K |
| E0114 |
Crutch underarm pair no wood |
1,635 |
1,589 |
$58K |
| K0001 |
Standard wheelchair |
3,115 |
2,926 |
$43K |
| B4150 |
Ef complet w/intact nutrient |
343 |
329 |
$40K |
| T4541 |
Large disposable underpad |
913 |
860 |
$40K |
| A7005 |
Nondisposable nebulizer set |
4,063 |
3,957 |
$40K |
| T4527 |
Adult size pull-on lg |
303 |
287 |
$34K |
| L3908 |
Who cock-up nonmolde pre ots |
1,042 |
953 |
$33K |
| A4604 |
Tubing with heating element |
1,367 |
1,344 |
$33K |
| A7035 |
Pos airway press headgear |
2,581 |
2,508 |
$31K |
| E0143 |
Walker folding wheeled w/o s |
818 |
782 |
$24K |
| L1820 |
Ko elas w/ condyle pads & jo |
319 |
299 |
$21K |
| A7038 |
Pos airway pressure filter |
7,797 |
7,472 |
$20K |
| A7037 |
Pos airway pressure tubing |
2,214 |
2,133 |
$18K |
| T4535 |
Disposable liner/shield/pad |
186 |
179 |
$17K |
| A6446 |
Conform band s w>=3" <5"/yd |
466 |
429 |
$16K |
| E0603 |
Electric breast pump |
94 |
81 |
$13K |
| A6402 |
Sterile gauze <= 16 sq in |
1,223 |
1,142 |
$10K |
| A7034 |
Nasal application device |
242 |
238 |
$8K |
| K0195 |
Elevating whlchair leg rests |
648 |
610 |
$7K |
| E0730 |
Tens four lead |
210 |
194 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,035 |
1,005 |
$4K |
| A6449 |
Lt compres band >=3" <5"/yd |
165 |
160 |
$3K |
| T4526 |
Adult size pull-on med |
26 |
26 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
232 |
214 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,573 |
1,533 |
$2K |
| L3650 |
So 8 abd restraint pre ots |
42 |
41 |
$1K |
| K0003 |
Lightweight wheelchair |
88 |
76 |
$841.32 |
| E0163 |
Commode chair with fixed arm |
25 |
24 |
$680.49 |
| A6448 |
Lt compres band <3"/yd |
51 |
43 |
$645.71 |
| A7032 |
Replacement nasal cushion |
52 |
51 |
$644.42 |
| K0006 |
Heavy duty wheelchair |
14 |
12 |
$401.92 |
| A4450 |
Non-waterproof tape |
24 |
24 |
$75.50 |