| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,153 |
8,613 |
$450K |
| A7030 |
Cpap full face mask |
596 |
584 |
$58K |
| E0601 |
Cont airway pressure device |
1,304 |
1,208 |
$58K |
| E0431 |
Portable gaseous 02 |
3,991 |
3,745 |
$33K |
| E1392 |
Portable oxygen concentrator |
2,877 |
2,700 |
$32K |
| E0570 |
Nebulizer with compression |
3,465 |
3,365 |
$32K |
| A4604 |
Tubing with heating element |
894 |
878 |
$28K |
| T4535 |
Disposable liner/shield/pad |
696 |
651 |
$27K |
| E0424 |
Stationary compressed gas 02 |
350 |
350 |
$26K |
| T4527 |
Adult size pull-on lg |
258 |
256 |
$24K |
| K0001 |
Standard wheelchair |
1,666 |
1,601 |
$19K |
| E0562 |
Humidifier heated used w pap |
123 |
116 |
$19K |
| A7031 |
Replacement facemask interfa |
488 |
477 |
$19K |
| T4541 |
Large disposable underpad |
882 |
854 |
$15K |
| E0260 |
Hosp bed semi-electr w/ matt |
567 |
517 |
$13K |
| A7035 |
Pos airway press headgear |
558 |
544 |
$10K |
| A7034 |
Nasal application device |
154 |
152 |
$9K |
| E0603 |
Electric breast pump |
67 |
67 |
$9K |
| A4927 |
Non-sterile gloves |
807 |
769 |
$7K |
| E0118 |
Crutch substitute |
220 |
220 |
$6K |
| A7005 |
Nondisposable nebulizer set |
282 |
277 |
$6K |
| A7038 |
Pos airway pressure filter |
1,175 |
1,133 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
105 |
102 |
$5K |
| L4387 |
Non-pneum walk boot pre ots |
31 |
31 |
$4K |
| T4526 |
Adult size pull-on med |
51 |
51 |
$4K |
| E0445 |
Oximeter non-invasive |
39 |
39 |
$4K |
| T4522 |
Adult size brief/diaper med |
26 |
26 |
$3K |
| T4534 |
Youth size pull-on |
25 |
25 |
$2K |
| L1820 |
Ko elas w/ condyle pads & jo |
14 |
13 |
$2K |
| A7000 |
Disposable canister for pump |
26 |
25 |
$633.37 |
| A7046 |
Repl water chamber, pap dev |
79 |
75 |
$574.39 |
| E2201 |
Man w/ch acc seat w>=20"<24" |
14 |
13 |
$564.89 |
| A7032 |
Replacement nasal cushion |
15 |
13 |
$538.23 |
| E0156 |
Walker seat attachment |
41 |
40 |
$446.97 |
| E0600 |
Suction pump portab hom modl |
13 |
13 |
$421.78 |
| A7002 |
Tubing used w suction pump |
27 |
26 |
$185.64 |
| K0195 |
Elevating whlchair leg rests |
14 |
12 |
$79.30 |
| E0434 |
Portable liquid 02 |
36 |
36 |
$78.48 |
| A7003 |
Nebulizer administration set |
62 |
62 |
$62.33 |