| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,627 |
14,625 |
$822K |
| E0601 |
Cont airway pressure device |
11,703 |
9,166 |
$363K |
| E0570 |
Nebulizer with compression |
13,343 |
9,528 |
$198K |
| E0470 |
Rad w/o backup non-inv intfc |
2,292 |
1,719 |
$160K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
389 |
321 |
$121K |
| A7030 |
Cpap full face mask |
1,773 |
1,366 |
$110K |
| E0562 |
Humidifier heated used w pap |
5,919 |
4,778 |
$105K |
| E0431 |
Portable gaseous 02 |
11,985 |
8,674 |
$99K |
| A4604 |
Tubing with heating element |
2,539 |
1,977 |
$61K |
| E1093 |
Wheelchair wide w/ foot rest |
810 |
707 |
$54K |
| A6530 |
Compression stocking bk18-30 |
1,546 |
729 |
$52K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,417 |
1,499 |
$50K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,040 |
643 |
$50K |
| E0143 |
Walker folding wheeled w/o s |
2,079 |
1,402 |
$48K |
| E1086 |
Hemi-wheelchair detachable a |
768 |
629 |
$47K |
| E1392 |
Portable oxygen concentrator |
2,949 |
2,181 |
$40K |
| E1140 |
Wheelchair standard detach a |
1,500 |
1,299 |
$40K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
169 |
127 |
$37K |
| A7031 |
Replacement facemask interfa |
1,362 |
1,063 |
$36K |
| A7005 |
Nondisposable nebulizer set |
3,041 |
2,337 |
$34K |
| A7035 |
Pos airway press headgear |
2,322 |
1,779 |
$28K |
| E0600 |
Suction pump portab hom modl |
884 |
648 |
$26K |
| A7034 |
Nasal application device |
657 |
507 |
$26K |
| A7032 |
Replacement nasal cushion |
533 |
432 |
$16K |
| E0465 |
Home vent invasive interface |
26 |
12 |
$13K |
| E0973 |
W/ch access det adj armrest |
591 |
205 |
$12K |
| A7038 |
Pos airway pressure filter |
3,780 |
2,927 |
$11K |
| E0184 |
Dry pressure mattress |
967 |
602 |
$11K |
| A6549 |
Grad com garm noc day use |
125 |
53 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,110 |
858 |
$9K |
| E2611 |
Gen use back cush wdth <22in |
133 |
75 |
$9K |
| E0443 |
Portable 02 contents, gas |
966 |
581 |
$6K |
| A7037 |
Pos airway pressure tubing |
542 |
420 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,406 |
1,085 |
$6K |
| E0202 |
Phototherapy light w/ photom |
44 |
14 |
$6K |
| E0630 |
Patient lift hydraulic |
255 |
160 |
$6K |
| E0445 |
Oximeter non-invasive |
47 |
39 |
$5K |
| L3908 |
Who cock-up nonmolde pre ots |
71 |
53 |
$4K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
19 |
12 |
$3K |
| E0961 |
Wheelchair brake extension |
575 |
201 |
$3K |
| E0730 |
Tens four lead |
139 |
113 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
3,140 |
2,448 |
$2K |
| E0951 |
Loop heel |
433 |
160 |
$2K |
| E2601 |
Gen w/c cushion wdth < 22 in |
107 |
65 |
$2K |
| K0738 |
Portable gas oxygen system |
272 |
182 |
$2K |
| A7003 |
Nebulizer administration set |
2,312 |
1,712 |
$1K |
| K0001 |
Standard wheelchair |
2,204 |
1,607 |
$1K |
| A4670 |
Automatic bp monitor, dial |
33 |
28 |
$1K |
| A4649 |
Surgical supplies |
214 |
123 |
$1K |
| L0621 |
Sio flex pelvic/sacr pre ots |
14 |
12 |
$740.77 |
| A7002 |
Tubing used w suction pump |
49 |
40 |
$721.01 |
| E0156 |
Walker seat attachment |
135 |
85 |
$589.69 |
| E0181 |
Press pad alternating w/ pum |
95 |
52 |
$482.23 |
| A7000 |
Disposable canister for pump |
30 |
26 |
$417.80 |
| E0163 |
Commode chair with fixed arm |
19 |
13 |
$381.60 |
| E0245 |
Tub stool or bench |
14 |
12 |
$378.84 |
| E1084 |
Hemi-wheelchair detachable a |
14 |
13 |
$277.56 |
| E0305 |
Rails bed side half length |
55 |
36 |
$131.68 |
| K0002 |
Stnd hemi (low seat) whlchr |
762 |
578 |
$0.00 |
| K0195 |
Elevating whlchair leg rests |
138 |
115 |
$0.00 |
| K0006 |
Heavy duty wheelchair |
32 |
25 |
$0.00 |
| K0052 |
Swingaway detach ftrest repl |
50 |
25 |
$0.00 |