| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
14,837 |
14,701 |
$741K |
| E1390 |
Oxygen concentrator |
6,118 |
5,718 |
$627K |
| E0470 |
Rad w/o backup non-inv intfc |
3,453 |
3,422 |
$426K |
| E0562 |
Humidifier heated used w pap |
3,988 |
3,924 |
$341K |
| A7030 |
Cpap full face mask |
3,455 |
3,412 |
$254K |
| A7520 |
Trach/laryn tube non-cuffed |
1,146 |
1,134 |
$246K |
| A4604 |
Tubing with heating element |
5,762 |
5,687 |
$237K |
| K0001 |
Standard wheelchair |
6,312 |
6,167 |
$212K |
| E0471 |
Rad w/backup non inv intrfc |
589 |
582 |
$196K |
| A7034 |
Nasal application device |
3,208 |
3,156 |
$184K |
| E0570 |
Nebulizer with compression |
2,432 |
2,421 |
$175K |
| E0295 |
Hosp bed semi-elect w/o matt |
2,498 |
2,477 |
$174K |
| E0277 |
Powered pres-redu air mattrs |
522 |
507 |
$153K |
| A7033 |
Replacement nasal pillows |
3,095 |
2,873 |
$145K |
| A7035 |
Pos airway press headgear |
6,511 |
6,405 |
$129K |
| E0240 |
Bath/shower chair |
1,141 |
1,124 |
$124K |
| A7038 |
Pos airway pressure filter |
12,290 |
12,127 |
$123K |
| A4606 |
Oxygen probe used w oximeter |
6,657 |
1,768 |
$120K |
| A7526 |
Tracheostomy tube collar |
1,299 |
1,290 |
$114K |
| L3000 |
Ft insert ucb berkeley shell |
394 |
259 |
$111K |
| A7031 |
Replacement facemask interfa |
3,082 |
3,023 |
$109K |
| A7032 |
Replacement nasal cushion |
2,288 |
2,128 |
$101K |
| A4624 |
Tracheal suction tube |
964 |
950 |
$87K |
| E0143 |
Walker folding wheeled w/o s |
1,327 |
1,302 |
$59K |
| E0431 |
Portable gaseous 02 |
2,825 |
2,551 |
$54K |
| A5513 |
Multi den insert custom mold |
954 |
529 |
$54K |
| K0007 |
Extra heavy duty wheelchair |
447 |
447 |
$45K |
| K0003 |
Lightweight wheelchair |
1,005 |
1,002 |
$44K |
| A7046 |
Repl water chamber, pap dev |
3,942 |
3,888 |
$43K |
| A5500 |
Diab shoe for density insert |
982 |
547 |
$42K |
| E0730 |
Tens four lead |
367 |
367 |
$39K |
| E0465 |
Home vent invasive interface |
61 |
36 |
$37K |
| A7000 |
Disposable canister for pump |
1,819 |
1,793 |
$36K |
| K0006 |
Heavy duty wheelchair |
504 |
504 |
$35K |
| A4629 |
Tracheostomy care kit |
829 |
828 |
$33K |
| E0630 |
Patient lift hydraulic |
535 |
532 |
$25K |
| A4628 |
Oropharyngeal suction cath |
1,367 |
1,298 |
$25K |
| K0195 |
Elevating whlchair leg rests |
1,350 |
1,247 |
$23K |
| E0271 |
Mattress innerspring |
1,272 |
1,267 |
$19K |
| A7037 |
Pos airway pressure tubing |
875 |
852 |
$17K |
| E0305 |
Rails bed side half length |
1,773 |
1,759 |
$17K |
| L3908 |
Who cock-up nonmolde pre ots |
394 |
247 |
$17K |
| A6402 |
Sterile gauze <= 16 sq in |
1,066 |
1,061 |
$16K |
| A7002 |
Tubing used w suction pump |
1,629 |
1,604 |
$16K |
| E0156 |
Walker seat attachment |
1,383 |
1,363 |
$16K |
| E0973 |
W/ch access det adj armrest |
329 |
270 |
$16K |
| A7504 |
Tracheostoma hmes filter |
242 |
242 |
$12K |
| L0637 |
Lso sc r ant/pos pnl pre cst |
15 |
15 |
$11K |
| E0443 |
Portable 02 contents, gas |
188 |
162 |
$10K |
| K0108 |
W/c component-accessory nos |
41 |
25 |
$10K |
| A4595 |
Tens suppl 2 lead per month |
524 |
455 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
379 |
346 |
$6K |
| A7005 |
Nondisposable nebulizer set |
323 |
323 |
$6K |
| E0978 |
W/c acc,saf belt pelv strap |
891 |
812 |
$5K |
| E0149 |
Heavy duty wheeled walker |
150 |
146 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
323 |
323 |
$4K |
| A7003 |
Nebulizer administration set |
1,469 |
1,463 |
$3K |
| A7525 |
Tracheostomy mask |
445 |
443 |
$3K |
| L4397 |
Static or dynami afo pre ots |
17 |
12 |
$2K |
| A7036 |
Pos airway press chinstrap |
196 |
194 |
$2K |
| A4927 |
Non-sterile gloves |
199 |
199 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
866 |
863 |
$1K |
| E1226 |
Manual fully reclining back |
25 |
25 |
$1K |
| E0955 |
Cushioned headrest |
13 |
13 |
$1K |
| A7007 |
Lg vol nebulizer disposable |
181 |
181 |
$834.06 |
| A7012 |
Nebulizer water collec devic |
119 |
117 |
$719.80 |
| E0245 |
Tub stool or bench |
13 |
12 |
$419.76 |
| E0100 |
Cane adjust/fixed with tip |
24 |
24 |
$224.20 |
| A4332 |
Lube sterile packet |
40 |
40 |
$33.75 |