| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,654 |
10,443 |
$925K |
| E0601 |
Cont airway pressure device |
8,113 |
8,015 |
$379K |
| E0570 |
Nebulizer with compression |
7,812 |
7,742 |
$222K |
| E0470 |
Rad w/o backup non-inv intfc |
1,800 |
1,792 |
$205K |
| E0603 |
Electric breast pump |
1,575 |
1,571 |
$190K |
| E0431 |
Portable gaseous 02 |
6,659 |
6,518 |
$137K |
| K0003 |
Lightweight wheelchair |
1,965 |
1,948 |
$98K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,110 |
1,058 |
$95K |
| E0562 |
Humidifier heated used w pap |
2,988 |
2,935 |
$82K |
| E0143 |
Walker folding wheeled w/o s |
1,731 |
1,720 |
$77K |
| K0001 |
Standard wheelchair |
3,067 |
3,015 |
$77K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,259 |
1,245 |
$74K |
| A7030 |
Cpap full face mask |
1,141 |
1,125 |
$58K |
| B4035 |
Enteral feed supp pump per d |
530 |
508 |
$44K |
| A4253 |
Blood glucose/reagent strips |
1,246 |
1,182 |
$40K |
| L3908 |
Who cock-up nonmolde pre ots |
824 |
650 |
$38K |
| A6446 |
Conform band s w>=3" <5"/yd |
1,354 |
1,243 |
$30K |
| A7005 |
Nondisposable nebulizer set |
1,919 |
1,910 |
$30K |
| B4150 |
Ef complet w/intact nutrient |
233 |
230 |
$26K |
| A7034 |
Nasal application device |
774 |
756 |
$24K |
| K0004 |
High strength ltwt whlchr |
304 |
304 |
$22K |
| A7035 |
Pos airway press headgear |
1,682 |
1,652 |
$21K |
| A7037 |
Pos airway pressure tubing |
1,446 |
1,414 |
$18K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
310 |
290 |
$17K |
| E0730 |
Tens four lead |
465 |
465 |
$17K |
| K0195 |
Elevating whlchair leg rests |
1,872 |
1,838 |
$16K |
| E1392 |
Portable oxygen concentrator |
2,259 |
2,202 |
$15K |
| A6530 |
Compression stocking bk18-30 |
385 |
366 |
$14K |
| A7038 |
Pos airway pressure filter |
2,720 |
2,697 |
$11K |
| K0007 |
Extra heavy duty wheelchair |
241 |
240 |
$11K |
| A6402 |
Sterile gauze <= 16 sq in |
1,222 |
1,195 |
$10K |
| E0149 |
Heavy duty wheeled walker |
680 |
668 |
$10K |
| B4034 |
Enter feed supkit syr by day |
387 |
371 |
$8K |
| A4450 |
Non-waterproof tape |
1,163 |
1,151 |
$7K |
| E0250 |
Hosp bed fixed ht w/ mattres |
414 |
411 |
$6K |
| E0156 |
Walker seat attachment |
634 |
634 |
$5K |
| A4259 |
Lancets per box |
1,099 |
1,042 |
$4K |
| A4385 |
Ost skn barrier sld ext wear |
69 |
67 |
$4K |
| A5120 |
Skin barrier, wipe or swab |
509 |
497 |
$3K |
| A6266 |
Impreg gauze no h20/sal/yard |
126 |
121 |
$3K |
| A7046 |
Repl water chamber, pap dev |
534 |
530 |
$2K |
| A6197 |
Alginate drsg >16 <=48 sq in |
14 |
14 |
$2K |
| A7003 |
Nebulizer administration set |
1,124 |
1,119 |
$2K |
| A4424 |
Ost pch drain w bar & filter |
26 |
26 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,357 |
1,345 |
$2K |
| E0607 |
Blood glucose monitor home |
57 |
56 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
130 |
130 |
$2K |
| A4604 |
Tubing with heating element |
161 |
157 |
$1K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
12 |
12 |
$1K |
| A4394 |
Ostomy pouch liq deodorant |
93 |
91 |
$1K |
| A7031 |
Replacement facemask interfa |
55 |
55 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
102 |
102 |
$1K |
| B9002 |
Enter nutr inf pump any type |
38 |
38 |
$746.58 |
| B4087 |
Gastro/jejuno tube, std |
43 |
18 |
$733.76 |
| E0114 |
Crutch underarm pair no wood |
27 |
27 |
$721.53 |
| A4362 |
Solid skin barrier |
12 |
12 |
$601.77 |
| A4456 |
Adhesive remover, wipes |
51 |
49 |
$294.62 |
| A4256 |
Calibrator solution/chips |
52 |
52 |
$259.92 |
| A7036 |
Pos airway press chinstrap |
38 |
38 |
$228.62 |
| E0776 |
Iv pole |
89 |
89 |
$201.44 |
| A4335 |
Incontinence supply |
115 |
114 |
$180.74 |
| A4406 |
Pectin based ostomy paste |
13 |
12 |
$156.64 |
| E0561 |
Humidifier nonheated w pap |
13 |
13 |
$153.66 |