| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,820 |
11,201 |
$827K |
| E0466 |
Home vent non-invasive inter |
775 |
605 |
$385K |
| E0601 |
Cont airway pressure device |
7,244 |
5,601 |
$263K |
| E0143 |
Walker folding wheeled w/o s |
4,563 |
3,607 |
$187K |
| E0260 |
Hosp bed semi-electr w/ matt |
5,609 |
4,165 |
$143K |
| K0001 |
Standard wheelchair |
10,708 |
8,063 |
$138K |
| A7030 |
Cpap full face mask |
2,320 |
1,916 |
$131K |
| K0004 |
High strength ltwt whlchr |
3,111 |
2,376 |
$123K |
| E0163 |
Commode chair with fixed arm |
2,380 |
1,866 |
$87K |
| E0431 |
Portable gaseous 02 |
9,205 |
6,950 |
$82K |
| A7034 |
Nasal application device |
2,072 |
1,694 |
$72K |
| A7031 |
Replacement facemask interfa |
2,837 |
2,091 |
$62K |
| E0570 |
Nebulizer with compression |
5,159 |
3,860 |
$57K |
| E0562 |
Humidifier heated used w pap |
527 |
426 |
$53K |
| K0195 |
Elevating whlchair leg rests |
6,434 |
5,016 |
$47K |
| E1392 |
Portable oxygen concentrator |
2,689 |
1,989 |
$47K |
| E0630 |
Patient lift hydraulic |
2,224 |
1,623 |
$45K |
| A7035 |
Pos airway press headgear |
3,075 |
2,502 |
$40K |
| K0007 |
Extra heavy duty wheelchair |
597 |
469 |
$40K |
| A4554 |
Disposable underpads |
759 |
624 |
$36K |
| E0470 |
Rad w/o backup non-inv intfc |
582 |
429 |
$35K |
| A7037 |
Pos airway pressure tubing |
1,719 |
1,350 |
$31K |
| K0003 |
Lightweight wheelchair |
1,376 |
1,062 |
$27K |
| E0165 |
Commode chair with detacharm |
1,904 |
1,341 |
$26K |
| A4604 |
Tubing with heating element |
2,421 |
2,079 |
$25K |
| E0240 |
Bath/shower chair |
491 |
364 |
$22K |
| A7032 |
Replacement nasal cushion |
947 |
691 |
$19K |
| A7038 |
Pos airway pressure filter |
6,137 |
4,612 |
$18K |
| K0738 |
Portable gas oxygen system |
804 |
592 |
$14K |
| A7033 |
Replacement nasal pillows |
1,094 |
813 |
$14K |
| T4527 |
Adult size pull-on lg |
106 |
87 |
$13K |
| E0971 |
Wheelchair anti-tipping devi |
750 |
534 |
$12K |
| E0600 |
Suction pump portab hom modl |
554 |
411 |
$11K |
| A4670 |
Automatic bp monitor, dial |
182 |
148 |
$9K |
| E0247 |
Trans bench w/wo comm open |
117 |
92 |
$7K |
| A7046 |
Repl water chamber, pap dev |
1,446 |
1,230 |
$7K |
| E0149 |
Heavy duty wheeled walker |
42 |
37 |
$6K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
734 |
525 |
$6K |
| E2601 |
Gen w/c cushion wdth < 22 in |
97 |
83 |
$3K |
| A7005 |
Nondisposable nebulizer set |
229 |
200 |
$3K |
| E0156 |
Walker seat attachment |
261 |
226 |
$2K |
| S8120 |
O2 contents gas cubic ft |
44 |
24 |
$2K |
| E0978 |
W/c acc,saf belt pelv strap |
194 |
144 |
$2K |
| K0006 |
Heavy duty wheelchair |
13 |
12 |
$722.74 |
| E0118 |
Crutch substitute |
76 |
62 |
$490.30 |
| E1038 |
Transport chair pt wt<=300lb |
91 |
62 |
$357.76 |
| E0100 |
Cane adjust/fixed with tip |
28 |
24 |
$333.39 |
| E0265 |
Hosp bed total electr w/ mat |
63 |
27 |
$142.91 |