| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
67,858 |
61,000 |
$3.15M |
| E0601 |
Cont airway pressure device |
67,061 |
62,962 |
$2.25M |
| A7030 |
Cpap full face mask |
37,004 |
31,594 |
$1.99M |
| E0260 |
Hosp bed semi-electr w/ matt |
77,847 |
67,803 |
$1.64M |
| A7031 |
Replacement facemask interfa |
62,905 |
59,446 |
$1.31M |
| A4604 |
Tubing with heating element |
53,253 |
50,234 |
$1.02M |
| A7032 |
Replacement nasal cushion |
30,640 |
29,331 |
$948K |
| K0001 |
Standard wheelchair |
98,382 |
86,190 |
$909K |
| E0562 |
Humidifier heated used w pap |
13,860 |
13,085 |
$849K |
| A7034 |
Nasal application device |
28,842 |
27,255 |
$814K |
| E0143 |
Walker folding wheeled w/o s |
24,137 |
21,587 |
$714K |
| K0003 |
Lightweight wheelchair |
38,544 |
33,650 |
$566K |
| E0277 |
Powered pres-redu air mattrs |
6,011 |
5,126 |
$499K |
| E0245 |
Tub stool or bench |
9,442 |
8,334 |
$496K |
| A7033 |
Replacement nasal pillows |
25,844 |
24,643 |
$488K |
| K0823 |
Pwc gp 2 std cap chair |
3,332 |
2,929 |
$459K |
| E0630 |
Patient lift hydraulic |
21,486 |
18,720 |
$450K |
| E0431 |
Portable gaseous 02 |
28,247 |
26,171 |
$402K |
| A7038 |
Pos airway pressure filter |
138,895 |
132,590 |
$393K |
| E0466 |
Home vent non-invasive inter |
888 |
807 |
$377K |
| E2611 |
Gen use back cush wdth <22in |
8,556 |
7,256 |
$334K |
| A7035 |
Pos airway press headgear |
32,120 |
30,263 |
$331K |
| E1007 |
Pwr seat combo w/shear |
168 |
145 |
$297K |
| E0470 |
Rad w/o backup non-inv intfc |
5,117 |
4,649 |
$291K |
| E0163 |
Commode chair with fixed arm |
14,382 |
12,857 |
$261K |
| K0006 |
Heavy duty wheelchair |
8,814 |
7,656 |
$259K |
| K0195 |
Elevating whlchair leg rests |
65,340 |
56,546 |
$251K |
| E0603 |
Electric breast pump |
2,568 |
2,429 |
$229K |
| E0570 |
Nebulizer with compression |
20,942 |
18,699 |
$218K |
| K0007 |
Extra heavy duty wheelchair |
4,019 |
3,530 |
$194K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,646 |
2,187 |
$191K |
| K0825 |
Pwc gp 2 hd cap chair |
429 |
373 |
$178K |
| E0973 |
W/ch access det adj armrest |
6,809 |
3,793 |
$177K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
2,549 |
2,158 |
$174K |
| E0240 |
Bath/shower chair |
3,494 |
3,176 |
$169K |
| E1392 |
Portable oxygen concentrator |
20,944 |
19,365 |
$162K |
| E0303 |
Hosp bed hvy dty xtra wide |
3,594 |
3,166 |
$162K |
| E2311 |
Electro connect btw 2 sys |
215 |
182 |
$154K |
| B4035 |
Enteral feed supp pump per d |
2,355 |
1,902 |
$154K |
| K0861 |
Pwc gp3 std mult pow opt s/b |
93 |
80 |
$146K |
| E0185 |
Gel pressure mattress pad |
5,803 |
5,137 |
$143K |
| B4034 |
Enter feed supkit syr by day |
2,781 |
2,276 |
$141K |
| E0971 |
Wheelchair anti-tipping devi |
13,812 |
8,263 |
$135K |
| K0738 |
Portable gas oxygen system |
13,612 |
12,219 |
$133K |
| E2601 |
Gen w/c cushion wdth < 22 in |
12,140 |
10,266 |
$121K |
| B4154 |
Ef spec metabolic noninherit |
1,154 |
904 |
$118K |
| E0465 |
Home vent invasive interface |
376 |
276 |
$115K |
| A4623 |
Tracheostomy inner cannula |
1,731 |
1,485 |
$110K |
| A7046 |
Repl water chamber, pap dev |
20,978 |
19,678 |
$107K |
| E0265 |
Hosp bed total electr w/ mat |
2,645 |
2,046 |
$106K |
| E1226 |
Manual fully reclining back |
2,920 |
2,572 |
$97K |
| E1038 |
Transport chair pt wt<=300lb |
12,579 |
10,803 |
$90K |
| A4409 |
Ost skn barr convex <=4 sq i |
1,425 |
1,277 |
$89K |
| E0149 |
Heavy duty wheeled walker |
4,303 |
3,773 |
$84K |
| B4150 |
Ef complet w/intact nutrient |
1,362 |
1,092 |
$81K |
| E0261 |
Hosp bed semi-electr w/o mat |
4,345 |
3,738 |
$78K |
| E1028 |
W/c manual swingaway |
5,614 |
4,034 |
$70K |
| E1161 |
Manual adult wc w tiltinspac |
1,864 |
1,549 |
$67K |
| E0961 |
Wheelchair brake extension |
9,960 |
5,870 |
$64K |
| E0471 |
Rad w/backup non inv intrfc |
671 |
592 |
$62K |
| A4624 |
Tracheal suction tube |
1,766 |
1,474 |
$59K |
| A4629 |
Tracheostomy care kit |
1,481 |
1,357 |
$58K |
| E2612 |
Gen use back cush wdth>=22in |
1,185 |
998 |
$56K |
| K0002 |
Stnd hemi (low seat) whlchr |
4,620 |
4,048 |
$56K |
| B9002 |
Enter nutr inf pump any type |
1,470 |
1,230 |
$55K |
| E0165 |
Commode chair with detacharm |
4,465 |
4,070 |
$55K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
984 |
880 |
$52K |
| E0600 |
Suction pump portab hom modl |
4,198 |
3,778 |
$49K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
1,167 |
1,037 |
$48K |
| E2622 |
Adj skin pro w/c cus wd<22in |
1,002 |
838 |
$48K |
| A4351 |
Straight tip urine catheter |
319 |
260 |
$48K |
| K0108 |
W/c component-accessory nos |
234 |
163 |
$48K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
647 |
568 |
$47K |
| E0247 |
Trans bench w/wo comm open |
2,351 |
2,045 |
$46K |
| E2620 |
Wc planar back cush wd <22in |
466 |
381 |
$45K |
| E0156 |
Walker seat attachment |
7,950 |
6,954 |
$41K |
| E2361 |
22nf sealed leadacid battery |
778 |
657 |
$40K |
| A4362 |
Solid skin barrier |
962 |
872 |
$39K |
| E0168 |
Heavyduty/wide commode chair |
1,278 |
1,126 |
$37K |
| A4385 |
Ost skn barrier sld ext wear |
1,315 |
1,155 |
$36K |
| E2377 |
Expandable controller, initl |
183 |
156 |
$36K |
| E1012 |
Ctr mount pwr elev leg rest |
210 |
176 |
$36K |
| A5063 |
Drain ostomy pouch w/flange |
1,423 |
1,280 |
$35K |
| A7037 |
Pos airway pressure tubing |
4,817 |
4,432 |
$35K |
| A4216 |
Sterile water/saline, 10 ml |
2,824 |
2,480 |
$34K |
| E0565 |
Compressor air power source |
2,048 |
1,891 |
$30K |
| A7036 |
Pos airway press chinstrap |
4,897 |
4,715 |
$29K |
| E1020 |
Residual limb support system |
1,943 |
1,621 |
$29K |
| A6212 |
Foam drg <=16 sq in w/border |
549 |
430 |
$28K |
| E0181 |
Press pad alternating w/ pum |
4,975 |
4,369 |
$26K |
| E2298 |
Pwr seat elev sys for crt |
20 |
13 |
$25K |
| A6197 |
Alginate drsg >16 <=48 sq in |
346 |
285 |
$25K |
| E2365 |
U1 sealed leadacid battery |
659 |
595 |
$24K |
| A6402 |
Sterile gauze <= 16 sq in |
4,244 |
3,682 |
$24K |
| A7039 |
Filter, non disposable w pap |
6,992 |
6,549 |
$24K |
| A7520 |
Trach/laryn tube non-cuffed |
537 |
488 |
$24K |
| E1031 |
Rollabout chair with casters |
1,448 |
1,242 |
$23K |
| A7005 |
Nondisposable nebulizer set |
4,083 |
3,714 |
$23K |
| A7000 |
Disposable canister for pump |
2,840 |
2,502 |
$22K |
| E2202 |
Seat width 24-27 in |
221 |
190 |
$22K |
| E0244 |
Toilet seat raised |
855 |
734 |
$21K |
| E0955 |
Cushioned headrest |
2,610 |
2,108 |
$20K |
| E0978 |
W/c acc,saf belt pelv strap |
2,362 |
2,036 |
$19K |
| A4452 |
Waterproof tape |
768 |
682 |
$19K |
| A4425 |
Ost pch drain for barrier fl |
981 |
856 |
$19K |
| E2313 |
Pwc harness, expand control |
185 |
157 |
$18K |
| A7526 |
Tracheostomy tube collar |
1,930 |
1,693 |
$18K |
| A4357 |
Bedside drainage bag |
1,030 |
923 |
$17K |
| E1399 |
Durable medical equipment mi |
302 |
202 |
$17K |
| A6446 |
Conform band s w>=3" <5"/yd |
1,202 |
1,083 |
$15K |
| K0040 |
Adjustable angle footplate |
601 |
412 |
$15K |
| E0114 |
Crutch underarm pair no wood |
616 |
582 |
$15K |
| E0105 |
Cane adjust/fixed quad/3 pro |
834 |
775 |
$15K |
| E0910 |
Trapeze bar attached to bed |
3,162 |
2,722 |
$14K |
| A5061 |
Pouch drainable w barrier at |
245 |
217 |
$14K |
| A4927 |
Non-sterile gloves |
763 |
702 |
$14K |
| K0739 |
Repair/svc dme non-oxygen eq |
2,379 |
2,067 |
$14K |
| K0053 |
Elevate footrest articulate |
972 |
856 |
$14K |
| E0100 |
Cane adjust/fixed with tip |
1,699 |
1,578 |
$13K |
| A5120 |
Skin barrier, wipe or swab |
2,449 |
2,230 |
$12K |
| A4407 |
Ext wear ost skn barr <=4sq" |
235 |
210 |
$12K |
| A6216 |
Non-sterile gauze<=16 sq in |
1,359 |
1,232 |
$11K |
| L4361 |
Pneuma/vac walk boot pre ots |
108 |
105 |
$11K |
| K0800 |
Pov group 1 std up to 300lbs |
82 |
80 |
$10K |
| A6449 |
Lt compres band >=3" <5"/yd |
256 |
235 |
$10K |
| E1225 |
Manual semi-reclining back |
1,247 |
1,018 |
$9K |
| A4358 |
Urinary leg or abdomen bag |
495 |
432 |
$7K |
| A4628 |
Oropharyngeal suction cath |
1,893 |
1,641 |
$7K |
| A7002 |
Tubing used w suction pump |
2,835 |
2,480 |
$7K |
| A4450 |
Non-waterproof tape |
1,537 |
1,393 |
$6K |
| K0056 |
Seat ht <17 or >=21 ltwt wc |
462 |
392 |
$6K |
| A4394 |
Ostomy pouch liq deodorant |
651 |
586 |
$6K |
| K0004 |
High strength ltwt whlchr |
94 |
88 |
$5K |
| K0816 |
Pwc gp 1 std cap chair |
148 |
147 |
$5K |
| E0118 |
Crutch substitute |
284 |
262 |
$5K |
| A6219 |
Gauze <= 16 sq in w/border |
437 |
380 |
$5K |
| E0705 |
Transfer device |
332 |
295 |
$4K |
| E2603 |
Skin protect wc cus wd <22in |
222 |
199 |
$4K |
| E0951 |
Loop heel |
772 |
481 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
271 |
236 |
$4K |
| A4456 |
Adhesive remover, wipes |
796 |
728 |
$4K |
| A4406 |
Pectin based ostomy paste |
220 |
208 |
$3K |
| E0271 |
Mattress innerspring |
283 |
250 |
$3K |
| A4371 |
Skin barrier powder per oz |
857 |
780 |
$2K |
| E0940 |
Trapeze bar free standing |
212 |
203 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
80 |
67 |
$2K |
| A7012 |
Nebulizer water collec devic |
1,217 |
1,053 |
$2K |
| A6258 |
Transparent film >16<=48 in |
54 |
50 |
$2K |
| A7007 |
Lg vol nebulizer disposable |
1,116 |
963 |
$2K |
| E0776 |
Iv pole |
97 |
95 |
$1K |
| E0274 |
Over-bed table |
50 |
37 |
$1K |
| A4367 |
Ostomy belt |
167 |
157 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
1,519 |
1,403 |
$965.78 |
| A4322 |
Irrigation syringe |
43 |
37 |
$961.04 |
| A7525 |
Tracheostomy mask |
1,496 |
1,327 |
$906.31 |
| E0443 |
Portable 02 contents, gas |
251 |
206 |
$691.95 |
| A7010 |
Disposable corrugated tubing |
122 |
105 |
$685.17 |
| E2209 |
Arm trough each |
30 |
24 |
$676.24 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
33 |
26 |
$586.50 |
| K0052 |
Swingaway detach ftrest repl |
1,202 |
1,133 |
$522.26 |
| L3660 |
So 8 ab rstr can/web pre ots |
13 |
13 |
$493.86 |
| A6260 |
Wound cleanser any type/size |
503 |
434 |
$480.00 |
| A7003 |
Nebulizer administration set |
1,126 |
1,016 |
$467.52 |
| L1902 |
Afo ankle gauntlet pre ots |
15 |
14 |
$453.75 |
| L4350 |
Ankle control ortho pre ots |
12 |
12 |
$432.00 |
| A6443 |
Conform band n/s w>=3"<5"/yd |
16 |
13 |
$403.44 |
| A4333 |
Urinary cath anchor device |
67 |
55 |
$383.76 |
| A4419 |
Ost pch for bar w flange/flt |
12 |
12 |
$357.00 |
| E0197 |
Air pressure pad for mattres |
182 |
179 |
$65.18 |
| A7013 |
Disposable compressor filter |
111 |
105 |
$59.43 |
| E1039 |
Transport chair pt wt >300lb |
12 |
12 |
$58.76 |