| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
3,922 |
2,634 |
$1.19M |
| E1390 |
Oxygen concentrator |
20,202 |
15,535 |
$1.08M |
| E0601 |
Cont airway pressure device |
9,860 |
7,346 |
$353K |
| T4535 |
Disposable liner/shield/pad |
2,735 |
2,376 |
$198K |
| E0430 |
Oxygen system gas portable |
4,331 |
3,415 |
$196K |
| A4554 |
Disposable underpads |
3,984 |
3,557 |
$193K |
| T4528 |
Adult size pull-on xl |
1,919 |
1,522 |
$170K |
| E0470 |
Rad w/o backup non-inv intfc |
1,777 |
1,294 |
$170K |
| T4526 |
Adult size pull-on med |
1,933 |
1,593 |
$155K |
| T4527 |
Adult size pull-on lg |
1,569 |
1,342 |
$138K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,067 |
1,554 |
$72K |
| T4532 |
Ped size pull-on lg |
621 |
545 |
$61K |
| E0570 |
Nebulizer with compression |
2,876 |
2,300 |
$53K |
| A4253 |
Blood glucose/reagent strips |
809 |
679 |
$46K |
| E1392 |
Portable oxygen concentrator |
4,566 |
3,441 |
$25K |
| E0431 |
Portable gaseous 02 |
4,651 |
3,674 |
$20K |
| A7030 |
Cpap full face mask |
776 |
546 |
$18K |
| E0562 |
Humidifier heated used w pap |
131 |
101 |
$16K |
| A4927 |
Non-sterile gloves |
1,007 |
847 |
$15K |
| K0001 |
Standard wheelchair |
1,065 |
859 |
$8K |
| A4604 |
Tubing with heating element |
1,463 |
1,077 |
$8K |
| T4531 |
Ped size pull-on sm/med |
68 |
65 |
$7K |
| A4259 |
Lancets per box |
480 |
393 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
112 |
101 |
$6K |
| A7034 |
Nasal application device |
253 |
208 |
$5K |
| A7038 |
Pos airway pressure filter |
1,598 |
1,192 |
$5K |
| K0738 |
Portable gas oxygen system |
1,183 |
964 |
$5K |
| E1140 |
Wheelchair standard detach a |
83 |
62 |
$3K |
| L4360 |
Pneumat walking boot pre cst |
25 |
13 |
$3K |
| A7031 |
Replacement facemask interfa |
469 |
331 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
55 |
36 |
$2K |
| A7035 |
Pos airway press headgear |
668 |
509 |
$1K |
| E0600 |
Suction pump portab hom modl |
13 |
12 |
$537.25 |
| E0114 |
Crutch underarm pair no wood |
23 |
12 |
$469.88 |
| E0156 |
Walker seat attachment |
49 |
42 |
$405.82 |
| A7046 |
Repl water chamber, pap dev |
40 |
27 |
$214.93 |
| A7032 |
Replacement nasal cushion |
16 |
14 |
$143.84 |
| E0181 |
Press pad alternating w/ pum |
21 |
12 |
$108.72 |
| E0910 |
Trapeze bar attached to bed |
12 |
12 |
$68.83 |