| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
46,690 |
38,678 |
$2.03M |
| E0466 |
Home vent non-invasive inter |
4,079 |
3,431 |
$1.25M |
| E0601 |
Cont airway pressure device |
11,272 |
10,163 |
$953K |
| E0562 |
Humidifier heated used w pap |
4,965 |
4,342 |
$380K |
| A7030 |
Cpap full face mask |
6,134 |
5,058 |
$359K |
| A7034 |
Nasal application device |
8,721 |
7,483 |
$357K |
| E0470 |
Rad w/o backup non-inv intfc |
3,163 |
2,692 |
$346K |
| K0001 |
Standard wheelchair |
13,709 |
12,356 |
$292K |
| E0260 |
Hosp bed semi-electr w/ matt |
8,197 |
6,799 |
$275K |
| K0738 |
Portable gas oxygen system |
18,432 |
15,546 |
$245K |
| B4035 |
Enteral feed supp pump per d |
1,645 |
1,250 |
$211K |
| A4604 |
Tubing with heating element |
8,514 |
7,335 |
$210K |
| E0471 |
Rad w/backup non inv intrfc |
1,192 |
1,040 |
$209K |
| E0570 |
Nebulizer with compression |
3,697 |
3,254 |
$178K |
| A7031 |
Replacement facemask interfa |
4,944 |
4,060 |
$178K |
| A7032 |
Replacement nasal cushion |
3,539 |
2,998 |
$177K |
| A7035 |
Pos airway press headgear |
10,693 |
9,162 |
$145K |
| E0143 |
Walker folding wheeled w/o s |
3,372 |
2,869 |
$144K |
| A7038 |
Pos airway pressure filter |
13,445 |
11,513 |
$115K |
| E0630 |
Patient lift hydraulic |
3,823 |
2,845 |
$101K |
| K0007 |
Extra heavy duty wheelchair |
1,455 |
1,263 |
$100K |
| E0465 |
Home vent invasive interface |
333 |
189 |
$99K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
410 |
345 |
$97K |
| A7037 |
Pos airway pressure tubing |
6,950 |
5,932 |
$89K |
| E0431 |
Portable gaseous 02 |
9,088 |
7,821 |
$86K |
| A7033 |
Replacement nasal pillows |
1,996 |
1,665 |
$80K |
| E0424 |
Stationary compressed gas 02 |
1,338 |
1,158 |
$78K |
| E0445 |
Oximeter non-invasive |
688 |
512 |
$77K |
| E1392 |
Portable oxygen concentrator |
4,314 |
3,559 |
$55K |
| E0265 |
Hosp bed total electr w/ mat |
1,196 |
966 |
$54K |
| B9998 |
Enteral supp not otherwise c |
850 |
686 |
$51K |
| A7046 |
Repl water chamber, pap dev |
5,903 |
5,089 |
$41K |
| B4034 |
Enter feed supkit syr by day |
942 |
702 |
$36K |
| E0604 |
Hosp grade elec breast pump |
1,078 |
998 |
$33K |
| K0003 |
Lightweight wheelchair |
1,227 |
1,106 |
$32K |
| E0600 |
Suction pump portab hom modl |
1,354 |
1,183 |
$31K |
| E0294 |
Hosp bed semi-elect w/ mattr |
538 |
500 |
$29K |
| A7005 |
Nondisposable nebulizer set |
1,692 |
1,487 |
$27K |
| B9002 |
Enter nutr inf pump any type |
908 |
786 |
$23K |
| E0163 |
Commode chair with fixed arm |
385 |
310 |
$18K |
| E0181 |
Press pad alternating w/ pum |
2,120 |
1,841 |
$18K |
| B4152 |
Ef calorie dense>/=1.5kcal |
152 |
136 |
$16K |
| E0184 |
Dry pressure mattress |
1,473 |
1,307 |
$14K |
| E0156 |
Walker seat attachment |
1,333 |
1,123 |
$12K |
| A6402 |
Sterile gauze <= 16 sq in |
1,459 |
1,110 |
$9K |
| E0261 |
Hosp bed semi-electr w/o mat |
844 |
570 |
$8K |
| E0776 |
Iv pole |
621 |
573 |
$8K |
| A7039 |
Filter, non disposable w pap |
1,546 |
1,359 |
$8K |
| E0240 |
Bath/shower chair |
126 |
121 |
$7K |
| A7036 |
Pos airway press chinstrap |
1,025 |
889 |
$6K |
| E0910 |
Trapeze bar attached to bed |
861 |
781 |
$6K |
| E1399 |
Durable medical equipment mi |
32 |
24 |
$4K |
| A7526 |
Tracheostomy tube collar |
130 |
89 |
$4K |
| A4623 |
Tracheostomy inner cannula |
32 |
26 |
$2K |
| A7000 |
Disposable canister for pump |
78 |
50 |
$2K |
| B4088 |
Gastro/jejuno tube, low-pro |
98 |
67 |
$2K |
| A7003 |
Nebulizer administration set |
1,767 |
1,549 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
43 |
25 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
656 |
608 |
$857.75 |
| B4155 |
Ef incomplete/modular |
15 |
13 |
$746.83 |
| A7013 |
Disposable compressor filter |
1,402 |
1,241 |
$681.58 |
| K0006 |
Heavy duty wheelchair |
12 |
12 |
$658.00 |
| E2601 |
Gen w/c cushion wdth < 22 in |
14 |
12 |
$283.69 |
| E0266 |
Hosp bed total elec w/o matt |
65 |
54 |
$59.48 |
| A4452 |
Waterproof tape |
12 |
12 |
$47.27 |