| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,178 |
8,239 |
$450K |
| E0601 |
Cont airway pressure device |
3,950 |
3,248 |
$173K |
| A7030 |
Cpap full face mask |
1,746 |
1,696 |
$127K |
| A4604 |
Tubing with heating element |
3,084 |
2,975 |
$105K |
| E0466 |
Home vent non-invasive inter |
51 |
43 |
$77K |
| A7031 |
Replacement facemask interfa |
6,000 |
3,939 |
$70K |
| E0431 |
Portable gaseous 02 |
5,826 |
5,322 |
$62K |
| E0562 |
Humidifier heated used w pap |
927 |
868 |
$62K |
| A7034 |
Nasal application device |
935 |
868 |
$42K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,671 |
1,448 |
$34K |
| E0570 |
Nebulizer with compression |
1,626 |
1,505 |
$33K |
| E1392 |
Portable oxygen concentrator |
1,404 |
1,279 |
$33K |
| A7035 |
Pos airway press headgear |
1,986 |
1,913 |
$33K |
| E0470 |
Rad w/o backup non-inv intfc |
436 |
369 |
$31K |
| K0001 |
Standard wheelchair |
2,677 |
2,344 |
$27K |
| E0114 |
Crutch underarm pair no wood |
609 |
599 |
$27K |
| L4361 |
Pneuma/vac walk boot pre ots |
101 |
98 |
$27K |
| E0143 |
Walker folding wheeled w/o s |
776 |
735 |
$24K |
| A7032 |
Replacement nasal cushion |
1,811 |
1,069 |
$20K |
| A7046 |
Repl water chamber, pap dev |
1,415 |
1,366 |
$16K |
| A7038 |
Pos airway pressure filter |
9,012 |
5,469 |
$12K |
| E0630 |
Patient lift hydraulic |
551 |
455 |
$11K |
| K0007 |
Extra heavy duty wheelchair |
288 |
245 |
$11K |
| L3660 |
So 8 ab rstr can/web pre ots |
120 |
117 |
$10K |
| A7033 |
Replacement nasal pillows |
896 |
549 |
$9K |
| E0600 |
Suction pump portab hom modl |
330 |
270 |
$9K |
| E0163 |
Commode chair with fixed arm |
178 |
169 |
$8K |
| E2611 |
Gen use back cush wdth <22in |
108 |
95 |
$8K |
| K0195 |
Elevating whlchair leg rests |
1,085 |
958 |
$6K |
| K0738 |
Portable gas oxygen system |
265 |
248 |
$6K |
| K0006 |
Heavy duty wheelchair |
318 |
274 |
$5K |
| E0971 |
Wheelchair anti-tipping devi |
217 |
143 |
$5K |
| K0003 |
Lightweight wheelchair |
380 |
345 |
$5K |
| E2601 |
Gen w/c cushion wdth < 22 in |
159 |
142 |
$3K |
| B4035 |
Enteral feed supp pump per d |
18 |
12 |
$3K |
| L3809 |
Whfo w/o joints pre ots |
12 |
12 |
$3K |
| L4350 |
Ankle control ortho pre ots |
26 |
25 |
$2K |
| L3260 |
Ambulatory surgical boot eac |
52 |
52 |
$2K |
| A7037 |
Pos airway pressure tubing |
179 |
147 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
27 |
25 |
$2K |
| E0565 |
Compressor air power source |
65 |
55 |
$1K |
| A7005 |
Nondisposable nebulizer set |
95 |
95 |
$1K |
| E0973 |
W/ch access det adj armrest |
19 |
12 |
$1K |
| E0156 |
Walker seat attachment |
113 |
106 |
$970.85 |
| E0185 |
Gel pressure mattress pad |
14 |
13 |
$435.95 |
| E1038 |
Transport chair pt wt<=300lb |
227 |
168 |
$386.03 |
| A7015 |
Aerosol mask used w nebulize |
27 |
26 |
$31.20 |