| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4361 |
Pneuma/vac walk boot pre ots |
33,779 |
29,749 |
$6.32M |
| E1390 |
Oxygen concentrator |
76,466 |
64,356 |
$2.81M |
| L3660 |
So 8 ab rstr can/web pre ots |
38,247 |
33,907 |
$2.07M |
| L3809 |
Whfo w/o joints pre ots |
11,856 |
10,468 |
$1.90M |
| E0114 |
Crutch underarm pair no wood |
42,805 |
39,444 |
$1.58M |
| L1833 |
Ko adj jnt pos r sup pre ots |
3,827 |
3,071 |
$1.47M |
| E0603 |
Electric breast pump |
7,822 |
6,947 |
$1.25M |
| L3908 |
Who cock-up nonmolde pre ots |
31,453 |
25,802 |
$1.02M |
| L1812 |
Ko elastic w/joints pre ots |
10,571 |
8,958 |
$849K |
| E0601 |
Cont airway pressure device |
28,384 |
25,028 |
$840K |
| L4350 |
Ankle control ortho pre ots |
12,971 |
11,834 |
$769K |
| L1830 |
Ko immob canvas long pre ots |
13,062 |
11,628 |
$743K |
| A7031 |
Replacement facemask interfa |
31,214 |
26,239 |
$734K |
| E0466 |
Home vent non-invasive inter |
2,203 |
1,572 |
$677K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
1,124 |
885 |
$579K |
| A7030 |
Cpap full face mask |
16,830 |
13,729 |
$571K |
| E0431 |
Portable gaseous 02 |
57,114 |
47,497 |
$511K |
| A7034 |
Nasal application device |
13,889 |
11,901 |
$433K |
| A7032 |
Replacement nasal cushion |
15,401 |
13,328 |
$425K |
| E0143 |
Walker folding wheeled w/o s |
13,731 |
11,505 |
$378K |
| L3984 |
Upper ext fx orthosis wrist |
1,585 |
1,419 |
$335K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
2,539 |
2,212 |
$327K |
| E0260 |
Hosp bed semi-electr w/ matt |
15,965 |
12,368 |
$309K |
| E0570 |
Nebulizer with compression |
20,824 |
16,827 |
$305K |
| L1902 |
Afo ankle gauntlet pre ots |
6,606 |
5,764 |
$292K |
| E0562 |
Humidifier heated used w pap |
12,199 |
10,566 |
$289K |
| K0001 |
Standard wheelchair |
27,752 |
22,636 |
$287K |
| E0470 |
Rad w/o backup non-inv intfc |
4,369 |
3,704 |
$272K |
| L3260 |
Ambulatory surgical boot eac |
17,928 |
15,361 |
$271K |
| A4604 |
Tubing with heating element |
13,538 |
11,545 |
$262K |
| L1820 |
Ko elas w/ condyle pads & jo |
3,614 |
3,073 |
$239K |
| A7035 |
Pos airway press headgear |
18,563 |
15,884 |
$193K |
| A7038 |
Pos airway pressure filter |
55,077 |
46,911 |
$170K |
| E0163 |
Commode chair with fixed arm |
5,929 |
4,919 |
$168K |
| L4387 |
Non-pneum walk boot pre ots |
1,249 |
1,055 |
$148K |
| A7033 |
Replacement nasal pillows |
8,348 |
7,035 |
$145K |
| A7037 |
Pos airway pressure tubing |
18,928 |
15,822 |
$140K |
| K0003 |
Lightweight wheelchair |
7,686 |
6,466 |
$131K |
| K0738 |
Portable gas oxygen system |
6,598 |
5,695 |
$129K |
| A7046 |
Repl water chamber, pap dev |
16,885 |
14,298 |
$112K |
| L3670 |
So acro/clav can web pre ots |
1,550 |
1,353 |
$95K |
| L3982 |
Upper ext fx orthosis rad/ul |
490 |
448 |
$95K |
| L0464 |
Tlso 4mod sacro-scap pre |
195 |
160 |
$92K |
| L3924 |
Hfo without joints pre ots |
1,538 |
1,236 |
$79K |
| E0630 |
Patient lift hydraulic |
4,222 |
3,275 |
$78K |
| K0821 |
Pwc gp 2 std port cap chair |
1,203 |
986 |
$73K |
| K0006 |
Heavy duty wheelchair |
2,898 |
2,365 |
$68K |
| K0195 |
Elevating whlchair leg rests |
10,931 |
8,533 |
$62K |
| K0007 |
Extra heavy duty wheelchair |
1,913 |
1,537 |
$59K |
| B4035 |
Enteral feed supp pump per d |
535 |
248 |
$55K |
| E0165 |
Commode chair with detacharm |
3,569 |
2,805 |
$55K |
| L2795 |
Knee control full kneecap |
1,614 |
1,268 |
$53K |
| K0823 |
Pwc gp 2 std cap chair |
556 |
384 |
$47K |
| L1846 |
Ko w adj flex/ext rotat mold |
77 |
61 |
$46K |
| E0149 |
Heavy duty wheeled walker |
1,534 |
1,225 |
$45K |
| E0600 |
Suction pump portab hom modl |
1,575 |
1,252 |
$45K |
| E1392 |
Portable oxygen concentrator |
2,731 |
2,161 |
$38K |
| A7039 |
Filter, non disposable w pap |
11,184 |
9,321 |
$37K |
| A7005 |
Nondisposable nebulizer set |
4,193 |
3,595 |
$30K |
| E0971 |
Wheelchair anti-tipping devi |
9,245 |
4,397 |
$30K |
| E0730 |
Tens four lead |
1,394 |
1,071 |
$28K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,060 |
879 |
$28K |
| L3170 |
Foot plas heel stabi pre ots |
1,002 |
827 |
$26K |
| E2601 |
Gen w/c cushion wdth < 22 in |
2,646 |
1,786 |
$23K |
| E1140 |
Wheelchair standard detach a |
1,812 |
1,670 |
$20K |
| E0565 |
Compressor air power source |
781 |
668 |
$20K |
| E0185 |
Gel pressure mattress pad |
475 |
326 |
$19K |
| A4467 |
Belt strap sleev grmnt cover |
2,246 |
896 |
$19K |
| B9002 |
Enter nutr inf pump any type |
463 |
235 |
$17K |
| E0156 |
Walker seat attachment |
2,602 |
2,016 |
$15K |
| E0261 |
Hosp bed semi-electr w/o mat |
872 |
636 |
$14K |
| E1028 |
W/c manual swingaway |
343 |
154 |
$14K |
| E0118 |
Crutch substitute |
143 |
90 |
$13K |
| E0100 |
Cane adjust/fixed with tip |
1,172 |
1,015 |
$13K |
| B4152 |
Ef calorie dense>/=1.5kcal |
170 |
77 |
$13K |
| K0108 |
W/c component-accessory nos |
170 |
64 |
$11K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
1,583 |
1,094 |
$10K |
| E0250 |
Hosp bed fixed ht w/ mattres |
990 |
816 |
$10K |
| A7036 |
Pos airway press chinstrap |
1,618 |
1,379 |
$10K |
| K0739 |
Repair/svc dme non-oxygen eq |
671 |
472 |
$10K |
| E0135 |
Walker folding adjust/fixed |
290 |
243 |
$8K |
| E0303 |
Hosp bed hvy dty xtra wide |
144 |
105 |
$8K |
| L3650 |
So 8 abd restraint pre ots |
217 |
195 |
$7K |
| E1150 |
Wheelchair standard w/ leg r |
218 |
200 |
$7K |
| E2611 |
Gen use back cush wdth <22in |
163 |
124 |
$7K |
| E0955 |
Cushioned headrest |
224 |
146 |
$6K |
| E0168 |
Heavyduty/wide commode chair |
169 |
128 |
$5K |
| E1038 |
Transport chair pt wt<=300lb |
1,406 |
1,098 |
$5K |
| A6530 |
Compression stocking bk18-30 |
129 |
58 |
$5K |
| E0961 |
Wheelchair brake extension |
2,531 |
1,262 |
$5K |
| B4149 |
Ef blenderized foods |
29 |
15 |
$4K |
| E1012 |
Ctr mount pwr elev leg rest |
14 |
12 |
$4K |
| E1226 |
Manual fully reclining back |
287 |
197 |
$4K |
| L1660 |
Ho abduction static plastic |
57 |
38 |
$4K |
| A7507 |
Integrated filter & holder |
86 |
41 |
$4K |
| E0277 |
Powered pres-redu air mattrs |
42 |
36 |
$3K |
| E0105 |
Cane adjust/fixed quad/3 pro |
159 |
115 |
$3K |
| L2755 |
Carbon graphite lamination |
29 |
24 |
$2K |
| E0910 |
Trapeze bar attached to bed |
681 |
494 |
$2K |
| A7000 |
Disposable canister for pump |
255 |
161 |
$2K |
| A4595 |
Tens suppl 2 lead per month |
132 |
118 |
$2K |
| E0973 |
W/ch access det adj armrest |
156 |
65 |
$2K |
| A7002 |
Tubing used w suction pump |
463 |
217 |
$2K |
| B4034 |
Enter feed supkit syr by day |
51 |
26 |
$1K |
| B4088 |
Gastro/jejuno tube, low-pro |
30 |
12 |
$1K |
| E1290 |
Wheelchair hvy duty detach a |
41 |
36 |
$1K |
| A7520 |
Trach/laryn tube non-cuffed |
26 |
12 |
$989.13 |
| E1090 |
Wheelchair lightweight det a |
132 |
123 |
$934.83 |
| E2361 |
22nf sealed leadacid battery |
21 |
13 |
$825.01 |
| K0004 |
High strength ltwt whlchr |
49 |
41 |
$693.38 |
| A4628 |
Oropharyngeal suction cath |
403 |
201 |
$633.70 |
| A4565 |
Slings |
175 |
167 |
$632.69 |
| L2999 |
Lower extremity orthosis nos |
95 |
53 |
$447.51 |
| A7013 |
Disposable compressor filter |
1,105 |
944 |
$327.02 |
| E1020 |
Residual limb support system |
107 |
67 |
$306.12 |
| A7010 |
Disposable corrugated tubing |
16 |
12 |
$162.94 |
| E0978 |
W/c acc,saf belt pelv strap |
14 |
12 |
$162.65 |
| A7003 |
Nebulizer administration set |
101 |
76 |
$105.86 |
| A9270 |
Non-covered item or service |
297 |
213 |
$63.44 |
| A7007 |
Lg vol nebulizer disposable |
17 |
13 |
$48.53 |
| A7525 |
Tracheostomy mask |
33 |
25 |
$45.62 |
| E1399 |
Durable medical equipment mi |
27 |
12 |
$38.81 |
| K0052 |
Swingaway detach ftrest repl |
15 |
12 |
$14.85 |
| A4615 |
Cannula nasal |
13 |
12 |
$0.00 |