| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
65,499 |
53,171 |
$3.05M |
| A7030 |
Cpap full face mask |
23,746 |
21,814 |
$1.67M |
| A7031 |
Replacement facemask interfa |
46,667 |
42,732 |
$1.57M |
| E0601 |
Cont airway pressure device |
37,983 |
34,097 |
$1.21M |
| A7032 |
Replacement nasal cushion |
26,656 |
24,661 |
$987K |
| A4604 |
Tubing with heating element |
32,446 |
29,831 |
$980K |
| A7034 |
Nasal application device |
19,658 |
18,053 |
$878K |
| E0603 |
Electric breast pump |
5,401 |
5,048 |
$632K |
| E0562 |
Humidifier heated used w pap |
5,890 |
5,316 |
$594K |
| E0466 |
Home vent non-invasive inter |
1,112 |
964 |
$543K |
| E0260 |
Hosp bed semi-electr w/ matt |
20,180 |
16,785 |
$449K |
| A7033 |
Replacement nasal pillows |
14,638 |
13,395 |
$429K |
| E0431 |
Portable gaseous 02 |
40,254 |
34,409 |
$407K |
| A7038 |
Pos airway pressure filter |
89,532 |
82,784 |
$372K |
| A7035 |
Pos airway press headgear |
23,286 |
21,359 |
$341K |
| E0470 |
Rad w/o backup non-inv intfc |
5,365 |
4,293 |
$286K |
| K0001 |
Standard wheelchair |
23,077 |
19,413 |
$265K |
| E2611 |
Gen use back cush wdth <22in |
2,606 |
2,145 |
$224K |
| E1392 |
Portable oxygen concentrator |
10,006 |
7,866 |
$188K |
| A7046 |
Repl water chamber, pap dev |
18,061 |
16,649 |
$172K |
| K0738 |
Portable gas oxygen system |
9,796 |
7,409 |
$160K |
| E0630 |
Patient lift hydraulic |
6,138 |
5,051 |
$126K |
| E0143 |
Walker folding wheeled w/o s |
4,804 |
4,059 |
$118K |
| E0570 |
Nebulizer with compression |
10,439 |
8,723 |
$114K |
| E0973 |
W/ch access det adj armrest |
2,380 |
1,369 |
$110K |
| K0003 |
Lightweight wheelchair |
7,137 |
5,854 |
$107K |
| K0823 |
Pwc gp 2 std cap chair |
918 |
720 |
$95K |
| E0185 |
Gel pressure mattress pad |
1,245 |
1,031 |
$92K |
| K0006 |
Heavy duty wheelchair |
2,705 |
2,278 |
$80K |
| E0163 |
Commode chair with fixed arm |
3,267 |
2,575 |
$77K |
| A7037 |
Pos airway pressure tubing |
6,510 |
5,913 |
$76K |
| E0303 |
Hosp bed hvy dty xtra wide |
1,013 |
895 |
$72K |
| K0007 |
Extra heavy duty wheelchair |
1,193 |
1,073 |
$65K |
| E0971 |
Wheelchair anti-tipping devi |
3,199 |
1,902 |
$63K |
| E2601 |
Gen w/c cushion wdth < 22 in |
3,164 |
2,575 |
$60K |
| K0004 |
High strength ltwt whlchr |
2,310 |
1,934 |
$59K |
| K0195 |
Elevating whlchair leg rests |
10,101 |
8,506 |
$53K |
| E0277 |
Powered pres-redu air mattrs |
907 |
766 |
$53K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
652 |
525 |
$52K |
| E0600 |
Suction pump portab hom modl |
2,047 |
1,716 |
$52K |
| A4623 |
Tracheostomy inner cannula |
267 |
223 |
$41K |
| E0471 |
Rad w/backup non inv intrfc |
243 |
223 |
$39K |
| A7039 |
Filter, non disposable w pap |
6,865 |
6,253 |
$36K |
| B4035 |
Enteral feed supp pump per d |
483 |
333 |
$36K |
| E0961 |
Wheelchair brake extension |
2,301 |
1,366 |
$36K |
| A4624 |
Tracheal suction tube |
213 |
176 |
$26K |
| A7526 |
Tracheostomy tube collar |
311 |
263 |
$19K |
| A7036 |
Pos airway press chinstrap |
2,130 |
1,953 |
$18K |
| E1226 |
Manual fully reclining back |
1,011 |
818 |
$18K |
| E0245 |
Tub stool or bench |
353 |
262 |
$17K |
| E0165 |
Commode chair with detacharm |
1,555 |
1,278 |
$16K |
| A4629 |
Tracheostomy care kit |
170 |
143 |
$15K |
| E0951 |
Loop heel |
1,644 |
933 |
$15K |
| E0265 |
Hosp bed total electr w/ mat |
1,636 |
1,247 |
$15K |
| E0565 |
Compressor air power source |
462 |
396 |
$14K |
| E0181 |
Press pad alternating w/ pum |
1,936 |
1,560 |
$13K |
| E1028 |
W/c manual swingaway |
379 |
259 |
$13K |
| E0261 |
Hosp bed semi-electr w/o mat |
273 |
255 |
$12K |
| A4217 |
Sterile water/saline, 500 ml |
144 |
119 |
$10K |
| E0156 |
Walker seat attachment |
816 |
685 |
$8K |
| E1038 |
Transport chair pt wt<=300lb |
1,603 |
1,339 |
$8K |
| B4152 |
Ef calorie dense>/=1.5kcal |
145 |
97 |
$8K |
| A7520 |
Trach/laryn tube non-cuffed |
116 |
103 |
$7K |
| A7000 |
Disposable canister for pump |
403 |
334 |
$6K |
| E0240 |
Bath/shower chair |
267 |
201 |
$6K |
| A4628 |
Oropharyngeal suction cath |
253 |
210 |
$5K |
| B9998 |
Enteral supp not otherwise c |
115 |
58 |
$4K |
| K0739 |
Repair/svc dme non-oxygen eq |
107 |
83 |
$4K |
| E0149 |
Heavy duty wheeled walker |
243 |
202 |
$3K |
| A7002 |
Tubing used w suction pump |
401 |
334 |
$3K |
| E0910 |
Trapeze bar attached to bed |
270 |
254 |
$2K |
| E0978 |
W/c acc,saf belt pelv strap |
95 |
78 |
$2K |
| A7005 |
Nondisposable nebulizer set |
291 |
248 |
$1K |
| A4927 |
Non-sterile gloves |
99 |
86 |
$1K |
| A7507 |
Integrated filter & holder |
34 |
26 |
$1K |
| E1020 |
Residual limb support system |
58 |
49 |
$919.39 |
| E0776 |
Iv pole |
186 |
144 |
$896.44 |
| E0955 |
Cushioned headrest |
24 |
24 |
$774.29 |
| A6402 |
Sterile gauze <= 16 sq in |
152 |
111 |
$709.01 |
| A7010 |
Disposable corrugated tubing |
47 |
37 |
$623.39 |
| K0056 |
Seat ht <17 or >=21 ltwt wc |
16 |
12 |
$452.99 |
| A7007 |
Lg vol nebulizer disposable |
46 |
39 |
$254.11 |
| E0271 |
Mattress innerspring |
16 |
12 |
$198.26 |
| A7013 |
Disposable compressor filter |
334 |
276 |
$154.79 |
| A7012 |
Nebulizer water collec devic |
27 |
24 |
$126.34 |
| A7525 |
Tracheostomy mask |
32 |
26 |
$110.64 |
| A7015 |
Aerosol mask used w nebulize |
61 |
53 |
$47.18 |