| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
37,506 |
32,787 |
$1.57M |
| E0466 |
Home vent non-invasive inter |
4,025 |
3,415 |
$1.15M |
| E0601 |
Cont airway pressure device |
21,102 |
18,597 |
$691K |
| A7030 |
Cpap full face mask |
10,265 |
8,341 |
$510K |
| E0470 |
Rad w/o backup non-inv intfc |
6,605 |
5,734 |
$482K |
| A7031 |
Replacement facemask interfa |
13,529 |
10,431 |
$256K |
| A7034 |
Nasal application device |
7,414 |
6,062 |
$246K |
| E0562 |
Humidifier heated used w pap |
18,324 |
16,076 |
$242K |
| E0431 |
Portable gaseous 02 |
24,032 |
20,991 |
$235K |
| K0003 |
Lightweight wheelchair |
11,529 |
10,087 |
$234K |
| A4604 |
Tubing with heating element |
9,645 |
7,955 |
$219K |
| E0465 |
Home vent invasive interface |
916 |
724 |
$203K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,546 |
6,342 |
$154K |
| A7035 |
Pos airway press headgear |
11,382 |
9,515 |
$131K |
| A7032 |
Replacement nasal cushion |
5,487 |
4,210 |
$96K |
| E0570 |
Nebulizer with compression |
7,609 |
6,428 |
$86K |
| A7037 |
Pos airway pressure tubing |
8,250 |
6,718 |
$77K |
| K0823 |
Pwc gp 2 std cap chair |
506 |
411 |
$72K |
| E0143 |
Walker folding wheeled w/o s |
2,470 |
2,142 |
$58K |
| A7046 |
Repl water chamber, pap dev |
7,517 |
6,180 |
$55K |
| K0001 |
Standard wheelchair |
4,963 |
4,286 |
$52K |
| A7033 |
Replacement nasal pillows |
2,950 |
2,333 |
$52K |
| A7038 |
Pos airway pressure filter |
21,036 |
16,391 |
$47K |
| K0007 |
Extra heavy duty wheelchair |
1,050 |
924 |
$40K |
| K0108 |
W/c component-accessory nos |
333 |
142 |
$37K |
| K0738 |
Portable gas oxygen system |
2,833 |
2,529 |
$33K |
| A4624 |
Tracheal suction tube |
476 |
385 |
$32K |
| E0630 |
Patient lift hydraulic |
1,527 |
1,232 |
$32K |
| E0971 |
Wheelchair anti-tipping devi |
2,844 |
1,796 |
$29K |
| K0195 |
Elevating whlchair leg rests |
4,074 |
3,502 |
$23K |
| E0600 |
Suction pump portab hom modl |
1,451 |
1,182 |
$22K |
| E1392 |
Portable oxygen concentrator |
1,958 |
1,711 |
$22K |
| K0006 |
Heavy duty wheelchair |
524 |
484 |
$22K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,067 |
831 |
$16K |
| A4629 |
Tracheostomy care kit |
284 |
225 |
$11K |
| E0165 |
Commode chair with detacharm |
437 |
383 |
$11K |
| E0163 |
Commode chair with fixed arm |
382 |
331 |
$9K |
| A7039 |
Filter, non disposable w pap |
2,211 |
1,882 |
$7K |
| E1028 |
W/c manual swingaway |
44 |
12 |
$6K |
| E0961 |
Wheelchair brake extension |
368 |
304 |
$5K |
| E0443 |
Portable 02 contents, gas |
712 |
581 |
$5K |
| A7000 |
Disposable canister for pump |
682 |
544 |
$5K |
| A7526 |
Tracheostomy tube collar |
374 |
297 |
$5K |
| E0483 |
Hi freq chest wall oscil sys |
26 |
25 |
$4K |
| A4623 |
Tracheostomy inner cannula |
80 |
53 |
$4K |
| A7002 |
Tubing used w suction pump |
1,422 |
636 |
$4K |
| E0978 |
W/c acc,saf belt pelv strap |
316 |
219 |
$4K |
| E0156 |
Walker seat attachment |
469 |
406 |
$3K |
| E0973 |
W/ch access det adj armrest |
87 |
63 |
$3K |
| A7005 |
Nondisposable nebulizer set |
476 |
398 |
$3K |
| E0185 |
Gel pressure mattress pad |
28 |
25 |
$2K |
| K0739 |
Repair/svc dme non-oxygen eq |
67 |
48 |
$2K |
| E0149 |
Heavy duty wheeled walker |
46 |
38 |
$2K |
| A7003 |
Nebulizer administration set |
1,861 |
1,618 |
$2K |
| E0471 |
Rad w/backup non inv intrfc |
14 |
12 |
$2K |
| A4606 |
Oxygen probe used w oximeter |
130 |
90 |
$1K |
| A4628 |
Oropharyngeal suction cath |
271 |
214 |
$1K |
| E0277 |
Powered pres-redu air mattrs |
41 |
25 |
$1K |
| E0565 |
Compressor air power source |
70 |
58 |
$882.81 |
| E0445 |
Oximeter non-invasive |
79 |
61 |
$760.45 |
| T4527 |
Adult size pull-on lg |
15 |
14 |
$639.00 |
| T4541 |
Large disposable underpad |
16 |
15 |
$462.00 |
| E0168 |
Heavyduty/wide commode chair |
16 |
16 |
$434.36 |
| T4535 |
Disposable liner/shield/pad |
21 |
19 |
$400.00 |
| E0271 |
Mattress innerspring |
108 |
92 |
$385.83 |
| E1020 |
Residual limb support system |
16 |
12 |
$240.74 |
| A7036 |
Pos airway press chinstrap |
42 |
38 |
$235.58 |
| A4927 |
Non-sterile gloves |
19 |
19 |
$225.94 |
| A7525 |
Tracheostomy mask |
91 |
74 |
$77.72 |
| A7013 |
Disposable compressor filter |
33 |
28 |
$14.03 |
| A7015 |
Aerosol mask used w nebulize |
24 |
18 |
$13.73 |