| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,976 |
11,148 |
$506K |
| E0466 |
Home vent non-invasive inter |
352 |
279 |
$123K |
| E0601 |
Cont airway pressure device |
3,578 |
3,128 |
$122K |
| A7030 |
Cpap full face mask |
1,586 |
1,509 |
$94K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,524 |
3,192 |
$87K |
| A4604 |
Tubing with heating element |
2,753 |
2,622 |
$75K |
| E0570 |
Nebulizer with compression |
3,006 |
2,813 |
$70K |
| E0431 |
Portable gaseous 02 |
7,488 |
6,784 |
$69K |
| K0001 |
Standard wheelchair |
5,207 |
4,784 |
$68K |
| E0143 |
Walker folding wheeled w/o s |
2,096 |
2,005 |
$56K |
| E0562 |
Humidifier heated used w pap |
2,142 |
2,031 |
$55K |
| E1392 |
Portable oxygen concentrator |
3,038 |
2,693 |
$48K |
| A7031 |
Replacement facemask interfa |
1,583 |
1,423 |
$41K |
| A7034 |
Nasal application device |
944 |
902 |
$35K |
| E0163 |
Commode chair with fixed arm |
746 |
709 |
$29K |
| A7035 |
Pos airway press headgear |
1,894 |
1,806 |
$26K |
| K0195 |
Elevating whlchair leg rests |
2,789 |
2,550 |
$22K |
| E0630 |
Patient lift hydraulic |
832 |
770 |
$21K |
| E0470 |
Rad w/o backup non-inv intfc |
223 |
201 |
$16K |
| A7032 |
Replacement nasal cushion |
767 |
650 |
$13K |
| K0003 |
Lightweight wheelchair |
690 |
650 |
$11K |
| E2611 |
Gen use back cush wdth <22in |
141 |
136 |
$10K |
| K0738 |
Portable gas oxygen system |
576 |
428 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,005 |
969 |
$9K |
| K0006 |
Heavy duty wheelchair |
273 |
258 |
$8K |
| E0971 |
Wheelchair anti-tipping devi |
439 |
275 |
$7K |
| A7038 |
Pos airway pressure filter |
3,758 |
2,932 |
$7K |
| E2601 |
Gen w/c cushion wdth < 22 in |
300 |
282 |
$6K |
| E0156 |
Walker seat attachment |
535 |
509 |
$5K |
| K0002 |
Stnd hemi (low seat) whlchr |
153 |
139 |
$4K |
| A7005 |
Nondisposable nebulizer set |
352 |
341 |
$4K |
| E0185 |
Gel pressure mattress pad |
58 |
56 |
$4K |
| E0247 |
Trans bench w/wo comm open |
29 |
27 |
$3K |
| E0165 |
Commode chair with detacharm |
58 |
53 |
$2K |
| A7033 |
Replacement nasal pillows |
137 |
122 |
$2K |
| E0600 |
Suction pump portab hom modl |
89 |
87 |
$2K |
| E0181 |
Press pad alternating w/ pum |
94 |
84 |
$853.72 |
| E0961 |
Wheelchair brake extension |
93 |
57 |
$850.44 |
| A7526 |
Tracheostomy tube collar |
18 |
15 |
$727.80 |
| E0973 |
W/ch access det adj armrest |
19 |
12 |
$601.73 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$369.81 |
| E0245 |
Tub stool or bench |
14 |
12 |
$331.15 |
| E1038 |
Transport chair pt wt<=300lb |
86 |
76 |
$234.65 |
| A7015 |
Aerosol mask used w nebulize |
82 |
80 |
$90.44 |
| A7002 |
Tubing used w suction pump |
14 |
12 |
$82.73 |
| A7000 |
Disposable canister for pump |
17 |
14 |
$71.88 |
| A6402 |
Sterile gauze <= 16 sq in |
13 |
12 |
$44.10 |
| A7003 |
Nebulizer administration set |
19 |
13 |
$22.12 |
| A7013 |
Disposable compressor filter |
12 |
12 |
$9.59 |