| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,871 |
10,094 |
$751K |
| E0465 |
Home vent invasive interface |
1,873 |
1,486 |
$680K |
| E0601 |
Cont airway pressure device |
5,450 |
5,058 |
$316K |
| E0471 |
Rad w/backup non inv intrfc |
698 |
655 |
$238K |
| A7030 |
Cpap full face mask |
2,728 |
2,523 |
$202K |
| T4527 |
Adult size pull-on lg |
2,157 |
2,064 |
$192K |
| E0470 |
Rad w/o backup non-inv intfc |
1,603 |
1,445 |
$192K |
| A4605 |
Trach suction cath close sys |
1,199 |
919 |
$180K |
| A4604 |
Tubing with heating element |
4,873 |
4,565 |
$145K |
| E0562 |
Humidifier heated used w pap |
1,317 |
1,229 |
$145K |
| A7034 |
Nasal application device |
2,624 |
2,479 |
$139K |
| E0570 |
Nebulizer with compression |
4,649 |
4,052 |
$128K |
| T4535 |
Disposable liner/shield/pad |
3,555 |
3,289 |
$121K |
| K0001 |
Standard wheelchair |
7,575 |
6,792 |
$112K |
| A4623 |
Tracheostomy inner cannula |
1,787 |
1,336 |
$111K |
| A4217 |
Sterile water/saline, 500 ml |
2,080 |
1,586 |
$109K |
| E0294 |
Hosp bed semi-elect w/ mattr |
3,556 |
3,510 |
$100K |
| A4629 |
Tracheostomy care kit |
1,616 |
1,291 |
$94K |
| T4528 |
Adult size pull-on xl |
1,128 |
1,067 |
$92K |
| E0431 |
Portable gaseous 02 |
7,496 |
6,813 |
$87K |
| A7035 |
Pos airway press headgear |
4,531 |
4,223 |
$84K |
| T4541 |
Large disposable underpad |
2,390 |
2,266 |
$77K |
| A7031 |
Replacement facemask interfa |
2,469 |
2,267 |
$76K |
| A4624 |
Tracheal suction tube |
742 |
572 |
$72K |
| E0143 |
Walker folding wheeled w/o s |
1,823 |
1,633 |
$66K |
| T4526 |
Adult size pull-on med |
880 |
824 |
$61K |
| A4927 |
Non-sterile gloves |
5,909 |
4,953 |
$60K |
| A7526 |
Tracheostomy tube collar |
1,459 |
1,141 |
$59K |
| A7038 |
Pos airway pressure filter |
7,125 |
6,740 |
$45K |
| E0630 |
Patient lift hydraulic |
1,966 |
1,669 |
$44K |
| E0600 |
Suction pump portab hom modl |
1,547 |
1,333 |
$39K |
| A4606 |
Oxygen probe used w oximeter |
792 |
663 |
$38K |
| A7032 |
Replacement nasal cushion |
1,266 |
1,182 |
$33K |
| A7000 |
Disposable canister for pump |
1,932 |
1,764 |
$33K |
| T4537 |
Reusable underpad bed size |
958 |
914 |
$32K |
| A7005 |
Nondisposable nebulizer set |
1,423 |
1,336 |
$27K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
2,178 |
1,569 |
$25K |
| A7046 |
Repl water chamber, pap dev |
2,439 |
2,310 |
$23K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,181 |
2,134 |
$18K |
| K0195 |
Elevating whlchair leg rests |
1,833 |
1,635 |
$16K |
| A7002 |
Tubing used w suction pump |
2,265 |
1,849 |
$15K |
| A7033 |
Replacement nasal pillows |
608 |
572 |
$14K |
| A7039 |
Filter, non disposable w pap |
1,747 |
1,650 |
$13K |
| E0156 |
Walker seat attachment |
1,326 |
1,178 |
$11K |
| A4670 |
Automatic bp monitor, dial |
145 |
142 |
$7K |
| A4628 |
Oropharyngeal suction cath |
1,525 |
1,246 |
$7K |
| E0149 |
Heavy duty wheeled walker |
525 |
440 |
$7K |
| A4216 |
Sterile water/saline, 10 ml |
847 |
726 |
$6K |
| A7520 |
Trach/laryn tube non-cuffed |
77 |
63 |
$5K |
| E0971 |
Wheelchair anti-tipping devi |
1,458 |
714 |
$5K |
| A7521 |
Trach/laryn tube cuffed |
222 |
179 |
$4K |
| K0006 |
Heavy duty wheelchair |
56 |
55 |
$3K |
| E1392 |
Portable oxygen concentrator |
184 |
179 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
62 |
48 |
$3K |
| E0303 |
Hosp bed hvy dty xtra wide |
73 |
63 |
$3K |
| E0277 |
Powered pres-redu air mattrs |
13 |
12 |
$2K |
| E0443 |
Portable 02 contents, gas |
66 |
50 |
$2K |
| T4523 |
Adult size brief/diaper lg |
15 |
15 |
$1K |
| A7003 |
Nebulizer administration set |
1,016 |
938 |
$1K |
| E0565 |
Compressor air power source |
65 |
50 |
$1K |
| A7037 |
Pos airway pressure tubing |
44 |
42 |
$905.66 |
| A7507 |
Integrated filter & holder |
16 |
13 |
$829.34 |
| E0978 |
W/c acc,saf belt pelv strap |
226 |
208 |
$586.18 |
| E0240 |
Bath/shower chair |
22 |
14 |
$541.19 |
| E0910 |
Trapeze bar attached to bed |
39 |
36 |
$151.22 |
| A7014 |
Compressor nondispos filter |
15 |
14 |
$42.01 |
| A7015 |
Aerosol mask used w nebulize |
12 |
12 |
$18.97 |