| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
13,539 |
13,328 |
$1.64M |
| E0601 |
Cont airway pressure device |
7,197 |
7,170 |
$1.14M |
| K0001 |
Standard wheelchair |
3,904 |
3,815 |
$712K |
| E0562 |
Humidifier heated used w pap |
3,362 |
3,350 |
$508K |
| E0470 |
Rad w/o backup non-inv intfc |
584 |
576 |
$285K |
| E0431 |
Portable gaseous 02 |
12,975 |
12,734 |
$277K |
| A7034 |
Nasal application device |
2,417 |
2,412 |
$208K |
| E0443 |
Portable 02 contents, gas |
3,262 |
3,194 |
$189K |
| E0570 |
Nebulizer with compression |
1,555 |
1,539 |
$161K |
| E0143 |
Walker folding wheeled w/o s |
2,532 |
2,514 |
$161K |
| E0295 |
Hosp bed semi-elect w/o matt |
334 |
330 |
$103K |
| A4629 |
Tracheostomy care kit |
1,209 |
1,134 |
$90K |
| A7037 |
Pos airway pressure tubing |
3,130 |
3,112 |
$84K |
| E0466 |
Home vent non-invasive inter |
106 |
105 |
$81K |
| E0245 |
Tub stool or bench |
1,282 |
1,268 |
$71K |
| T4541 |
Large disposable underpad |
1,298 |
1,239 |
$71K |
| A7030 |
Cpap full face mask |
485 |
480 |
$61K |
| E0471 |
Rad w/backup non inv intrfc |
79 |
78 |
$56K |
| E0971 |
Wheelchair anti-tipping devi |
2,457 |
2,416 |
$55K |
| K0195 |
Elevating whlchair leg rests |
861 |
858 |
$48K |
| A7039 |
Filter, non disposable w pap |
2,654 |
2,642 |
$29K |
| E0978 |
W/c acc,saf belt pelv strap |
2,498 |
2,451 |
$27K |
| E0156 |
Walker seat attachment |
1,535 |
1,529 |
$24K |
| A7038 |
Pos airway pressure filter |
4,136 |
4,044 |
$24K |
| A4624 |
Tracheal suction tube |
586 |
541 |
$23K |
| T4526 |
Adult size pull-on med |
362 |
350 |
$21K |
| A4670 |
Automatic bp monitor, dial |
288 |
286 |
$19K |
| A4595 |
Tens suppl 2 lead per month |
343 |
326 |
$18K |
| E0163 |
Commode chair with fixed arm |
194 |
188 |
$12K |
| A7526 |
Tracheostomy tube collar |
340 |
323 |
$10K |
| E0247 |
Trans bench w/wo comm open |
98 |
95 |
$8K |
| A7002 |
Tubing used w suction pump |
529 |
496 |
$6K |
| T4527 |
Adult size pull-on lg |
77 |
74 |
$6K |
| E0100 |
Cane adjust/fixed with tip |
278 |
278 |
$4K |
| E0271 |
Mattress innerspring |
66 |
66 |
$4K |
| A4623 |
Tracheostomy inner cannula |
14 |
13 |
$4K |
| E0720 |
Tens two lead |
14 |
14 |
$3K |
| E0305 |
Rails bed side half length |
25 |
24 |
$1K |
| T4523 |
Adult size brief/diaper lg |
13 |
12 |
$1K |
| A7520 |
Trach/laryn tube non-cuffed |
13 |
12 |
$1K |
| E0149 |
Heavy duty wheeled walker |
14 |
14 |
$1K |
| A4628 |
Oropharyngeal suction cath |
56 |
51 |
$976.96 |
| E1038 |
Transport chair pt wt<=300lb |
14 |
14 |
$865.62 |
| A7036 |
Pos airway press chinstrap |
59 |
59 |
$770.17 |
| A7015 |
Aerosol mask used w nebulize |
340 |
325 |
$617.26 |
| E0105 |
Cane adjust/fixed quad/3 pro |
13 |
13 |
$331.10 |
| A7007 |
Lg vol nebulizer disposable |
43 |
38 |
$292.63 |
| A7525 |
Tracheostomy mask |
13 |
12 |
$45.98 |