| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,587 |
8,854 |
$565K |
| E0471 |
Rad w/backup non inv intrfc |
1,204 |
1,151 |
$430K |
| E0601 |
Cont airway pressure device |
4,465 |
4,165 |
$326K |
| A7030 |
Cpap full face mask |
2,808 |
2,609 |
$267K |
| E0470 |
Rad w/o backup non-inv intfc |
1,274 |
1,172 |
$180K |
| A4604 |
Tubing with heating element |
4,643 |
4,355 |
$170K |
| A7034 |
Nasal application device |
2,370 |
2,234 |
$152K |
| E0562 |
Humidifier heated used w pap |
947 |
897 |
$152K |
| T4527 |
Adult size pull-on lg |
1,481 |
1,429 |
$142K |
| E0570 |
Nebulizer with compression |
4,193 |
3,738 |
$109K |
| A7035 |
Pos airway press headgear |
4,476 |
4,228 |
$103K |
| T4541 |
Large disposable underpad |
2,548 |
2,457 |
$92K |
| A7031 |
Replacement facemask interfa |
2,570 |
2,344 |
$91K |
| T4535 |
Disposable liner/shield/pad |
2,163 |
2,041 |
$87K |
| E0431 |
Portable gaseous 02 |
7,020 |
6,486 |
$78K |
| T4526 |
Adult size pull-on med |
951 |
932 |
$74K |
| A4927 |
Non-sterile gloves |
6,635 |
5,763 |
$71K |
| T4537 |
Reusable underpad bed size |
1,875 |
1,806 |
$71K |
| K0001 |
Standard wheelchair |
4,627 |
3,951 |
$69K |
| E0294 |
Hosp bed semi-elect w/ mattr |
1,768 |
1,752 |
$62K |
| A7038 |
Pos airway pressure filter |
7,584 |
7,162 |
$52K |
| E0143 |
Walker folding wheeled w/o s |
1,318 |
1,154 |
$50K |
| T4528 |
Adult size pull-on xl |
524 |
499 |
$49K |
| T4544 |
Adlt disp und/pull on abv xl |
275 |
265 |
$48K |
| A7032 |
Replacement nasal cushion |
1,328 |
1,226 |
$37K |
| A7046 |
Repl water chamber, pap dev |
2,822 |
2,675 |
$33K |
| A7005 |
Nondisposable nebulizer set |
1,364 |
1,281 |
$28K |
| A7039 |
Filter, non disposable w pap |
2,213 |
2,094 |
$20K |
| E0630 |
Patient lift hydraulic |
503 |
425 |
$18K |
| A4351 |
Straight tip urine catheter |
166 |
146 |
$17K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
1,354 |
1,018 |
$14K |
| A7000 |
Disposable canister for pump |
438 |
415 |
$12K |
| A4606 |
Oxygen probe used w oximeter |
171 |
161 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
738 |
688 |
$7K |
| E1392 |
Portable oxygen concentrator |
487 |
426 |
$6K |
| A7002 |
Tubing used w suction pump |
416 |
360 |
$5K |
| T4525 |
Adult size pull-on sm |
54 |
54 |
$5K |
| E0156 |
Walker seat attachment |
386 |
338 |
$4K |
| T4534 |
Youth size pull-on |
42 |
41 |
$3K |
| K0195 |
Elevating whlchair leg rests |
276 |
243 |
$3K |
| E0149 |
Heavy duty wheeled walker |
134 |
116 |
$2K |
| E0600 |
Suction pump portab hom modl |
61 |
53 |
$2K |
| T4530 |
Ped size brief/diaper lg |
25 |
24 |
$2K |
| A4628 |
Oropharyngeal suction cath |
199 |
143 |
$1K |
| T4532 |
Ped size pull-on lg |
12 |
12 |
$775.60 |
| A7526 |
Tracheostomy tube collar |
13 |
12 |
$558.09 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$491.78 |
| A7033 |
Replacement nasal pillows |
25 |
25 |
$490.32 |
| A7003 |
Nebulizer administration set |
213 |
209 |
$284.91 |
| A4216 |
Sterile water/saline, 10 ml |
13 |
12 |
$195.98 |
| A7014 |
Compressor nondispos filter |
14 |
13 |
$45.10 |
| A7015 |
Aerosol mask used w nebulize |
14 |
14 |
$19.65 |