| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
22,217 |
19,038 |
$1.51M |
| E0601 |
Cont airway pressure device |
14,301 |
12,926 |
$828K |
| E0465 |
Home vent invasive interface |
1,006 |
747 |
$712K |
| A7030 |
Cpap full face mask |
8,368 |
7,234 |
$690K |
| E0470 |
Rad w/o backup non-inv intfc |
4,564 |
3,967 |
$477K |
| A7034 |
Nasal application device |
6,973 |
6,135 |
$392K |
| A4604 |
Tubing with heating element |
12,888 |
11,243 |
$391K |
| E0562 |
Humidifier heated used w pap |
3,727 |
3,353 |
$332K |
| A7031 |
Replacement facemask interfa |
7,915 |
6,750 |
$296K |
| E0260 |
Hosp bed semi-electr w/ matt |
9,160 |
7,123 |
$273K |
| K0001 |
Standard wheelchair |
14,348 |
11,527 |
$231K |
| E0570 |
Nebulizer with compression |
7,056 |
6,067 |
$218K |
| A7032 |
Replacement nasal cushion |
4,293 |
3,749 |
$206K |
| A7035 |
Pos airway press headgear |
9,564 |
8,337 |
$170K |
| T4527 |
Adult size pull-on lg |
1,965 |
1,787 |
$166K |
| E0431 |
Portable gaseous 02 |
13,922 |
11,622 |
$162K |
| T4535 |
Disposable liner/shield/pad |
2,298 |
2,024 |
$133K |
| E0466 |
Home vent non-invasive inter |
242 |
218 |
$132K |
| A4217 |
Sterile water/saline, 500 ml |
1,437 |
1,127 |
$132K |
| E0143 |
Walker folding wheeled w/o s |
3,037 |
2,539 |
$121K |
| E0603 |
Electric breast pump |
652 |
627 |
$117K |
| E0471 |
Rad w/backup non inv intrfc |
496 |
414 |
$117K |
| A7038 |
Pos airway pressure filter |
17,868 |
15,486 |
$109K |
| T4526 |
Adult size pull-on med |
1,492 |
1,263 |
$105K |
| T4528 |
Adult size pull-on xl |
1,199 |
1,074 |
$97K |
| K0007 |
Extra heavy duty wheelchair |
1,017 |
862 |
$86K |
| A4606 |
Oxygen probe used w oximeter |
1,142 |
830 |
$82K |
| E0630 |
Patient lift hydraulic |
3,280 |
2,549 |
$79K |
| T4541 |
Large disposable underpad |
4,078 |
3,471 |
$71K |
| A7033 |
Replacement nasal pillows |
2,616 |
2,218 |
$69K |
| A4927 |
Non-sterile gloves |
4,953 |
3,820 |
$55K |
| A7046 |
Repl water chamber, pap dev |
5,838 |
5,105 |
$52K |
| E1392 |
Portable oxygen concentrator |
3,173 |
2,743 |
$52K |
| E0445 |
Oximeter non-invasive |
337 |
314 |
$52K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
2,881 |
2,474 |
$45K |
| A4624 |
Tracheal suction tube |
394 |
319 |
$41K |
| K0195 |
Elevating whlchair leg rests |
4,870 |
4,023 |
$40K |
| E0600 |
Suction pump portab hom modl |
1,724 |
1,572 |
$37K |
| A7526 |
Tracheostomy tube collar |
722 |
571 |
$36K |
| A7000 |
Disposable canister for pump |
1,992 |
1,721 |
$35K |
| T4523 |
Adult size brief/diaper lg |
235 |
210 |
$23K |
| E0240 |
Bath/shower chair |
422 |
329 |
$23K |
| A7037 |
Pos airway pressure tubing |
1,037 |
902 |
$20K |
| A7005 |
Nondisposable nebulizer set |
974 |
898 |
$19K |
| E0247 |
Trans bench w/wo comm open |
223 |
172 |
$18K |
| E0156 |
Walker seat attachment |
2,011 |
1,691 |
$18K |
| A7002 |
Tubing used w suction pump |
2,129 |
1,826 |
$16K |
| E0303 |
Hosp bed hvy dty xtra wide |
108 |
99 |
$14K |
| T4544 |
Adlt disp und/pull on abv xl |
105 |
81 |
$11K |
| A7039 |
Filter, non disposable w pap |
1,400 |
1,227 |
$10K |
| A7520 |
Trach/laryn tube non-cuffed |
247 |
168 |
$9K |
| E2601 |
Gen w/c cushion wdth < 22 in |
453 |
372 |
$8K |
| A4628 |
Oropharyngeal suction cath |
1,539 |
1,053 |
$8K |
| A7003 |
Nebulizer administration set |
3,478 |
3,077 |
$8K |
| A7036 |
Pos airway press chinstrap |
851 |
751 |
$7K |
| A4605 |
Trach suction cath close sys |
33 |
25 |
$7K |
| A4216 |
Sterile water/saline, 10 ml |
594 |
522 |
$6K |
| A4629 |
Tracheostomy care kit |
158 |
115 |
$6K |
| T4534 |
Youth size pull-on |
113 |
74 |
$6K |
| E0277 |
Powered pres-redu air mattrs |
25 |
24 |
$6K |
| K0003 |
Lightweight wheelchair |
226 |
200 |
$5K |
| T4543 |
Adult disp brief/diap abv xl |
30 |
24 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
1,708 |
987 |
$3K |
| E0149 |
Heavy duty wheeled walker |
136 |
105 |
$3K |
| E0181 |
Press pad alternating w/ pum |
581 |
434 |
$3K |
| A4618 |
Breathing circuits |
190 |
121 |
$3K |
| E0163 |
Commode chair with fixed arm |
50 |
45 |
$2K |
| K0006 |
Heavy duty wheelchair |
29 |
27 |
$2K |
| E0910 |
Trapeze bar attached to bed |
277 |
257 |
$1K |
| A4351 |
Straight tip urine catheter |
19 |
12 |
$1K |
| L1812 |
Ko elastic w/joints pre ots |
28 |
20 |
$1K |
| A7507 |
Integrated filter & holder |
15 |
12 |
$1K |
| T4525 |
Adult size pull-on sm |
14 |
14 |
$1K |
| E0118 |
Crutch substitute |
28 |
25 |
$870.00 |
| A6402 |
Sterile gauze <= 16 sq in |
87 |
72 |
$735.32 |
| E0443 |
Portable 02 contents, gas |
25 |
24 |
$679.62 |
| A4520 |
Incontinence garment anytype |
323 |
221 |
$317.13 |
| E0244 |
Toilet seat raised |
17 |
12 |
$255.12 |
| E1372 |
Oxy suppl heater for nebuliz |
19 |
12 |
$196.57 |
| A7015 |
Aerosol mask used w nebulize |
131 |
128 |
$189.17 |