| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
19,234 |
17,783 |
$889K |
| E0562 |
Humidifier heated used w pap |
21,450 |
19,601 |
$337K |
| E1390 |
Oxygen concentrator |
3,854 |
3,550 |
$323K |
| E0470 |
Rad w/o backup non-inv intfc |
2,398 |
2,214 |
$309K |
| A7030 |
Cpap full face mask |
4,981 |
4,726 |
$274K |
| E0260 |
Hosp bed semi-electr w/ matt |
5,800 |
5,483 |
$264K |
| K0001 |
Standard wheelchair |
8,128 |
7,234 |
$217K |
| A7034 |
Nasal application device |
5,159 |
4,860 |
$192K |
| A4604 |
Tubing with heating element |
9,027 |
8,540 |
$174K |
| K0003 |
Lightweight wheelchair |
3,316 |
3,011 |
$163K |
| E2611 |
Gen use back cush wdth <22in |
1,680 |
1,460 |
$158K |
| E0630 |
Patient lift hydraulic |
2,610 |
2,486 |
$138K |
| E0471 |
Rad w/backup non inv intrfc |
676 |
613 |
$124K |
| A7031 |
Replacement facemask interfa |
4,535 |
4,302 |
$121K |
| B4035 |
Enteral feed supp pump per d |
1,427 |
1,257 |
$116K |
| A7032 |
Replacement nasal cushion |
2,845 |
2,668 |
$104K |
| E0247 |
Trans bench w/wo comm open |
1,011 |
941 |
$102K |
| A7035 |
Pos airway press headgear |
6,670 |
6,292 |
$94K |
| K0004 |
High strength ltwt whlchr |
1,676 |
1,543 |
$93K |
| E0277 |
Powered pres-redu air mattrs |
349 |
329 |
$73K |
| A7033 |
Replacement nasal pillows |
2,504 |
2,347 |
$71K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,219 |
1,144 |
$54K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,037 |
875 |
$53K |
| A7038 |
Pos airway pressure filter |
11,021 |
10,339 |
$47K |
| E0143 |
Walker folding wheeled w/o s |
801 |
754 |
$46K |
| A7046 |
Repl water chamber, pap dev |
5,268 |
4,885 |
$45K |
| E0163 |
Commode chair with fixed arm |
439 |
406 |
$32K |
| E0431 |
Portable gaseous 02 |
2,112 |
1,964 |
$29K |
| B4152 |
Ef calorie dense>/=1.5kcal |
401 |
334 |
$27K |
| E0165 |
Commode chair with detacharm |
1,030 |
1,009 |
$23K |
| E0255 |
Hospital bed var ht w/ mattr |
389 |
382 |
$17K |
| A7037 |
Pos airway pressure tubing |
823 |
773 |
$17K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
783 |
773 |
$14K |
| E0240 |
Bath/shower chair |
112 |
101 |
$11K |
| K0007 |
Extra heavy duty wheelchair |
150 |
143 |
$11K |
| B4154 |
Ef spec metabolic noninherit |
219 |
190 |
$10K |
| E0971 |
Wheelchair anti-tipping devi |
7,704 |
3,989 |
$10K |
| E1226 |
Manual fully reclining back |
213 |
197 |
$10K |
| K0006 |
Heavy duty wheelchair |
180 |
170 |
$10K |
| B4150 |
Ef complet w/intact nutrient |
175 |
150 |
$8K |
| E0600 |
Suction pump portab hom modl |
331 |
328 |
$8K |
| E0570 |
Nebulizer with compression |
592 |
582 |
$7K |
| E0261 |
Hosp bed semi-electr w/o mat |
119 |
113 |
$7K |
| E0185 |
Gel pressure mattress pad |
73 |
72 |
$5K |
| A4623 |
Tracheostomy inner cannula |
181 |
118 |
$4K |
| E0978 |
W/c acc,saf belt pelv strap |
2,344 |
2,239 |
$3K |
| T4541 |
Large disposable underpad |
41 |
39 |
$3K |
| E0961 |
Wheelchair brake extension |
3,134 |
1,571 |
$2K |
| E0973 |
W/ch access det adj armrest |
817 |
410 |
$2K |
| A4314 |
Cath w/drainage 2-way latex |
395 |
336 |
$1K |
| K0195 |
Elevating whlchair leg rests |
421 |
402 |
$1K |
| E1392 |
Portable oxygen concentrator |
47 |
39 |
$1K |
| A4629 |
Tracheostomy care kit |
53 |
41 |
$1K |
| A4357 |
Bedside drainage bag |
427 |
389 |
$907.50 |
| K0056 |
Seat ht <17 or >=21 ltwt wc |
61 |
56 |
$770.98 |
| E0951 |
Loop heel |
1,017 |
586 |
$654.54 |
| E0156 |
Walker seat attachment |
50 |
43 |
$546.47 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$160.07 |
| A4358 |
Urinary leg or abdomen bag |
32 |
31 |
$14.23 |
| A7015 |
Aerosol mask used w nebulize |
15 |
15 |
$13.26 |