| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,933 |
15,465 |
$1.19M |
| E0465 |
Home vent invasive interface |
1,711 |
1,330 |
$1.03M |
| E0601 |
Cont airway pressure device |
9,722 |
8,515 |
$469K |
| A7030 |
Cpap full face mask |
5,867 |
5,012 |
$458K |
| E0260 |
Hosp bed semi-electr w/ matt |
15,166 |
10,695 |
$420K |
| K0001 |
Standard wheelchair |
22,819 |
16,639 |
$397K |
| A7034 |
Nasal application device |
5,598 |
5,004 |
$314K |
| A4604 |
Tubing with heating element |
9,432 |
8,136 |
$280K |
| E0562 |
Humidifier heated used w pap |
3,224 |
2,814 |
$223K |
| E0603 |
Electric breast pump |
1,264 |
1,205 |
$216K |
| E0470 |
Rad w/o backup non-inv intfc |
2,507 |
2,042 |
$210K |
| E0445 |
Oximeter non-invasive |
1,373 |
1,278 |
$202K |
| A7031 |
Replacement facemask interfa |
5,482 |
4,684 |
$186K |
| E0471 |
Rad w/backup non inv intrfc |
871 |
737 |
$166K |
| A4217 |
Sterile water/saline, 500 ml |
2,037 |
1,406 |
$157K |
| E0143 |
Walker folding wheeled w/o s |
3,949 |
3,304 |
$155K |
| A7032 |
Replacement nasal cushion |
3,243 |
2,864 |
$130K |
| E0431 |
Portable gaseous 02 |
11,936 |
9,502 |
$129K |
| A7035 |
Pos airway press headgear |
7,364 |
6,444 |
$128K |
| K0007 |
Extra heavy duty wheelchair |
2,103 |
1,469 |
$120K |
| E0570 |
Nebulizer with compression |
7,113 |
5,279 |
$120K |
| E0630 |
Patient lift hydraulic |
4,685 |
3,321 |
$119K |
| T4527 |
Adult size pull-on lg |
1,579 |
1,304 |
$107K |
| E0277 |
Powered pres-redu air mattrs |
736 |
567 |
$95K |
| A4606 |
Oxygen probe used w oximeter |
1,116 |
893 |
$93K |
| E0240 |
Bath/shower chair |
1,690 |
1,344 |
$87K |
| A4624 |
Tracheal suction tube |
963 |
759 |
$83K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
5,872 |
4,075 |
$78K |
| E0600 |
Suction pump portab hom modl |
3,658 |
2,995 |
$77K |
| K0195 |
Elevating whlchair leg rests |
7,831 |
6,032 |
$75K |
| A4670 |
Automatic bp monitor, dial |
1,645 |
1,493 |
$75K |
| A7038 |
Pos airway pressure filter |
12,873 |
11,299 |
$74K |
| T4526 |
Adult size pull-on med |
1,092 |
919 |
$71K |
| E0303 |
Hosp bed hvy dty xtra wide |
1,039 |
734 |
$66K |
| E1392 |
Portable oxygen concentrator |
4,142 |
3,340 |
$65K |
| T4541 |
Large disposable underpad |
3,811 |
3,187 |
$63K |
| A7033 |
Replacement nasal pillows |
2,008 |
1,824 |
$59K |
| A4927 |
Non-sterile gloves |
5,032 |
3,763 |
$58K |
| A7526 |
Tracheostomy tube collar |
1,380 |
1,007 |
$56K |
| T4535 |
Disposable liner/shield/pad |
1,247 |
1,053 |
$55K |
| E0247 |
Trans bench w/wo comm open |
683 |
516 |
$54K |
| A7046 |
Repl water chamber, pap dev |
4,772 |
4,197 |
$47K |
| T4528 |
Adult size pull-on xl |
536 |
455 |
$43K |
| A7000 |
Disposable canister for pump |
2,315 |
1,905 |
$42K |
| T4523 |
Adult size brief/diaper lg |
573 |
428 |
$42K |
| A4623 |
Tracheostomy inner cannula |
495 |
341 |
$40K |
| E1028 |
W/c manual swingaway |
1,659 |
920 |
$36K |
| K0823 |
Pwc gp 2 std cap chair |
346 |
279 |
$34K |
| A4629 |
Tracheostomy care kit |
479 |
374 |
$28K |
| E0156 |
Walker seat attachment |
3,043 |
2,593 |
$27K |
| A7507 |
Integrated filter & holder |
393 |
272 |
$25K |
| K0006 |
Heavy duty wheelchair |
537 |
381 |
$24K |
| A7520 |
Trach/laryn tube non-cuffed |
311 |
253 |
$23K |
| A7005 |
Nondisposable nebulizer set |
1,392 |
1,193 |
$22K |
| E1226 |
Manual fully reclining back |
745 |
499 |
$22K |
| A4605 |
Trach suction cath close sys |
301 |
217 |
$22K |
| E1399 |
Durable medical equipment mi |
119 |
70 |
$20K |
| E0971 |
Wheelchair anti-tipping devi |
6,328 |
3,053 |
$18K |
| A7002 |
Tubing used w suction pump |
2,411 |
1,955 |
$17K |
| E0149 |
Heavy duty wheeled walker |
1,239 |
795 |
$15K |
| E0424 |
Stationary compressed gas 02 |
136 |
118 |
$14K |
| K0003 |
Lightweight wheelchair |
470 |
389 |
$14K |
| E0482 |
Cough stimulating device |
67 |
64 |
$14K |
| A7039 |
Filter, non disposable w pap |
1,841 |
1,663 |
$13K |
| A7037 |
Pos airway pressure tubing |
654 |
596 |
$12K |
| A4628 |
Oropharyngeal suction cath |
1,952 |
1,407 |
$11K |
| E0973 |
W/ch access det adj armrest |
1,005 |
579 |
$9K |
| E0118 |
Crutch substitute |
132 |
119 |
$9K |
| E0181 |
Press pad alternating w/ pum |
1,341 |
927 |
$9K |
| E0163 |
Commode chair with fixed arm |
198 |
154 |
$8K |
| A4618 |
Breathing circuits |
484 |
342 |
$8K |
| K0739 |
Repair/svc dme non-oxygen eq |
345 |
225 |
$8K |
| E0978 |
W/c acc,saf belt pelv strap |
2,242 |
1,963 |
$7K |
| K0004 |
High strength ltwt whlchr |
214 |
151 |
$7K |
| A4216 |
Sterile water/saline, 10 ml |
667 |
565 |
$7K |
| E2601 |
Gen w/c cushion wdth < 22 in |
429 |
298 |
$6K |
| E2202 |
Seat width 24-27 in |
285 |
198 |
$5K |
| T4522 |
Adult size brief/diaper med |
61 |
50 |
$4K |
| K0108 |
W/c component-accessory nos |
34 |
14 |
$4K |
| A4351 |
Straight tip urine catheter |
28 |
24 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
446 |
338 |
$4K |
| E0565 |
Compressor air power source |
90 |
76 |
$3K |
| A7003 |
Nebulizer administration set |
1,519 |
1,325 |
$3K |
| E1372 |
Oxy suppl heater for nebuliz |
219 |
164 |
$2K |
| A7036 |
Pos airway press chinstrap |
291 |
243 |
$2K |
| E0961 |
Wheelchair brake extension |
1,608 |
746 |
$2K |
| A7014 |
Compressor nondispos filter |
794 |
663 |
$2K |
| E0966 |
Wheelchair head rest extensi |
482 |
400 |
$2K |
| E0910 |
Trapeze bar attached to bed |
476 |
323 |
$2K |
| E0255 |
Hospital bed var ht w/ mattr |
141 |
90 |
$2K |
| A7521 |
Trach/laryn tube cuffed |
36 |
25 |
$2K |
| E2611 |
Gen use back cush wdth <22in |
18 |
13 |
$1K |
| E0955 |
Cushioned headrest |
15 |
12 |
$821.84 |
| E0265 |
Hosp bed total electr w/ mat |
142 |
103 |
$573.32 |
| E0165 |
Commode chair with detacharm |
32 |
25 |
$541.55 |
| E0244 |
Toilet seat raised |
34 |
25 |
$446.46 |
| E0100 |
Cane adjust/fixed with tip |
41 |
37 |
$303.25 |
| E0197 |
Air pressure pad for mattres |
82 |
64 |
$276.75 |
| A7012 |
Nebulizer water collec devic |
41 |
36 |
$160.66 |
| A7525 |
Tracheostomy mask |
46 |
38 |
$106.14 |
| E0443 |
Portable 02 contents, gas |
13 |
12 |
$51.18 |
| E1355 |
Oxygen supplies stand/rack |
23 |
12 |
$20.00 |
| A4520 |
Incontinence garment anytype |
486 |
287 |
$0.00 |