| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
19,192 |
19,155 |
$1.95M |
| T4541 |
Large disposable underpad |
25,775 |
25,715 |
$1.66M |
| E1390 |
Oxygen concentrator |
7,819 |
7,613 |
$1.25M |
| T4526 |
Adult size pull-on med |
20,168 |
20,136 |
$1.12M |
| T4535 |
Disposable liner/shield/pad |
15,745 |
15,707 |
$946K |
| A7032 |
Replacement nasal cushion |
11,162 |
11,145 |
$924K |
| A7034 |
Nasal application device |
8,546 |
8,534 |
$840K |
| K0001 |
Standard wheelchair |
10,462 |
10,426 |
$658K |
| A7028 |
Repl oral cushion combo mask |
3,028 |
3,010 |
$600K |
| E0562 |
Humidifier heated used w pap |
2,390 |
2,388 |
$580K |
| A4604 |
Tubing with heating element |
7,910 |
7,895 |
$440K |
| E0443 |
Portable 02 contents, gas |
5,330 |
5,295 |
$439K |
| T4527 |
Adult size pull-on lg |
5,623 |
5,610 |
$426K |
| A7033 |
Replacement nasal pillows |
4,094 |
4,090 |
$411K |
| A7038 |
Pos airway pressure filter |
21,781 |
21,734 |
$386K |
| A7035 |
Pos airway press headgear |
9,863 |
9,849 |
$330K |
| T4522 |
Adult size brief/diaper med |
3,742 |
3,738 |
$276K |
| E0431 |
Portable gaseous 02 |
7,473 |
7,404 |
$214K |
| A7027 |
Combination oral/nasal mask |
2,053 |
2,045 |
$213K |
| A7030 |
Cpap full face mask |
1,344 |
1,342 |
$202K |
| E0470 |
Rad w/o backup non-inv intfc |
975 |
975 |
$199K |
| E0143 |
Walker folding wheeled w/o s |
2,529 |
2,515 |
$186K |
| A7031 |
Replacement facemask interfa |
803 |
803 |
$143K |
| E0295 |
Hosp bed semi-elect w/o matt |
1,055 |
1,047 |
$130K |
| A7037 |
Pos airway pressure tubing |
3,796 |
3,789 |
$125K |
| E0245 |
Tub stool or bench |
1,927 |
1,926 |
$113K |
| T4523 |
Adult size brief/diaper lg |
1,250 |
1,247 |
$96K |
| T4528 |
Adult size pull-on xl |
871 |
870 |
$90K |
| E0163 |
Commode chair with fixed arm |
801 |
799 |
$69K |
| K0195 |
Elevating whlchair leg rests |
373 |
371 |
$67K |
| T4537 |
Reusable underpad bed size |
2,177 |
2,175 |
$67K |
| E0247 |
Trans bench w/wo comm open |
303 |
302 |
$39K |
| T4524 |
Adult size brief/diaper xl |
223 |
223 |
$28K |
| A7046 |
Repl water chamber, pap dev |
1,319 |
1,317 |
$27K |
| E0570 |
Nebulizer with compression |
526 |
526 |
$27K |
| E0305 |
Rails bed side half length |
1,263 |
1,251 |
$24K |
| T4536 |
Reusable pull-on any size |
2,518 |
2,500 |
$17K |
| A7039 |
Filter, non disposable w pap |
1,727 |
1,721 |
$15K |
| E0156 |
Walker seat attachment |
506 |
506 |
$9K |
| E0271 |
Mattress innerspring |
530 |
524 |
$9K |
| E1392 |
Portable oxygen concentrator |
165 |
163 |
$6K |
| K0003 |
Lightweight wheelchair |
110 |
110 |
$6K |
| L1820 |
Ko elas w/ condyle pads & jo |
104 |
71 |
$4K |
| E0100 |
Cane adjust/fixed with tip |
618 |
618 |
$3K |
| A7036 |
Pos airway press chinstrap |
317 |
314 |
$2K |
| L3931 |
Whfo nontorsion joint prefab |
56 |
52 |
$1K |
| E0159 |
Brake for wheeled walker |
43 |
43 |
$792.86 |
| E0210 |
Electric heat pad standard |
12 |
12 |
$607.04 |