| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
65,425 |
60,675 |
$3.05M |
| E0466 |
Home vent non-invasive inter |
3,278 |
3,057 |
$1.33M |
| E0601 |
Cont airway pressure device |
24,723 |
22,892 |
$1.04M |
| E0431 |
Portable gaseous 02 |
43,883 |
41,104 |
$772K |
| L0639 |
Lso s/c shell/panel prefab |
962 |
884 |
$525K |
| E0562 |
Humidifier heated used w pap |
5,405 |
4,974 |
$487K |
| E0470 |
Rad w/o backup non-inv intfc |
4,157 |
3,826 |
$418K |
| A7030 |
Cpap full face mask |
6,555 |
6,222 |
$344K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,818 |
7,259 |
$295K |
| E0730 |
Tens four lead |
5,061 |
4,747 |
$256K |
| K0001 |
Standard wheelchair |
8,911 |
8,091 |
$224K |
| A7034 |
Nasal application device |
6,750 |
6,321 |
$201K |
| A7035 |
Pos airway press headgear |
10,667 |
10,095 |
$178K |
| L4360 |
Pneumat walking boot pre cst |
1,620 |
1,521 |
$174K |
| E0143 |
Walker folding wheeled w/o s |
4,899 |
4,587 |
$153K |
| L1832 |
Ko adj jnt pos r sup pre cst |
487 |
434 |
$144K |
| E0570 |
Nebulizer with compression |
5,351 |
5,058 |
$127K |
| A4604 |
Tubing with heating element |
5,364 |
4,993 |
$116K |
| A7031 |
Replacement facemask interfa |
4,474 |
4,101 |
$97K |
| K0003 |
Lightweight wheelchair |
1,958 |
1,809 |
$94K |
| L3908 |
Who cock-up nonmolde pre ots |
3,306 |
2,676 |
$93K |
| K0007 |
Extra heavy duty wheelchair |
802 |
745 |
$92K |
| A7037 |
Pos airway pressure tubing |
7,111 |
6,733 |
$92K |
| L4361 |
Pneuma/vac walk boot pre ots |
831 |
772 |
$89K |
| E0471 |
Rad w/backup non inv intrfc |
581 |
514 |
$73K |
| E0973 |
W/ch access det adj armrest |
5,938 |
2,647 |
$73K |
| L3807 |
Whfo w/o joints pre cst |
683 |
625 |
$65K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
1,328 |
1,157 |
$59K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,615 |
1,472 |
$55K |
| E0303 |
Hosp bed hvy dty xtra wide |
676 |
601 |
$52K |
| E0114 |
Crutch underarm pair no wood |
3,283 |
3,150 |
$51K |
| E1392 |
Portable oxygen concentrator |
2,624 |
2,493 |
$51K |
| L1833 |
Ko adj jnt pos r sup pre ots |
164 |
154 |
$50K |
| E0600 |
Suction pump portab hom modl |
1,193 |
1,042 |
$48K |
| L1902 |
Afo ankle gauntlet pre ots |
1,555 |
1,379 |
$46K |
| K0006 |
Heavy duty wheelchair |
739 |
675 |
$46K |
| E2611 |
Gen use back cush wdth <22in |
293 |
269 |
$45K |
| E0163 |
Commode chair with fixed arm |
1,485 |
1,413 |
$44K |
| E0990 |
Wheelchair elevating leg res |
1,396 |
1,082 |
$44K |
| A7039 |
Filter, non disposable w pap |
6,575 |
6,242 |
$42K |
| L3809 |
Whfo w/o joints pre ots |
345 |
328 |
$39K |
| L3670 |
So acro/clav can web pre ots |
864 |
803 |
$37K |
| A7038 |
Pos airway pressure filter |
16,852 |
15,753 |
$36K |
| A7032 |
Replacement nasal cushion |
2,346 |
2,137 |
$36K |
| E0971 |
Wheelchair anti-tipping devi |
5,435 |
2,452 |
$35K |
| L1852 |
Ko double upright prefab ots |
82 |
79 |
$34K |
| A7033 |
Replacement nasal pillows |
2,008 |
1,835 |
$33K |
| E0630 |
Patient lift hydraulic |
530 |
481 |
$29K |
| E0565 |
Compressor air power source |
901 |
830 |
$26K |
| K0195 |
Elevating whlchair leg rests |
1,721 |
1,594 |
$23K |
| A7005 |
Nondisposable nebulizer set |
2,113 |
1,995 |
$22K |
| L1810 |
Ko elastic with joints |
472 |
398 |
$20K |
| L4350 |
Ankle control ortho pre ots |
481 |
448 |
$19K |
| E0149 |
Heavy duty wheeled walker |
435 |
418 |
$17K |
| E0245 |
Tub stool or bench |
683 |
645 |
$17K |
| E2601 |
Gen w/c cushion wdth < 22 in |
466 |
438 |
$15K |
| E0978 |
W/c acc,saf belt pelv strap |
2,564 |
2,281 |
$14K |
| E0951 |
Loop heel |
5,384 |
2,571 |
$13K |
| E0961 |
Wheelchair brake extension |
3,166 |
1,535 |
$13K |
| L2795 |
Knee control full kneecap |
388 |
313 |
$12K |
| L1820 |
Ko elas w/ condyle pads & jo |
186 |
167 |
$11K |
| E0185 |
Gel pressure mattress pad |
255 |
245 |
$11K |
| L3660 |
So 8 ab rstr can/web pre ots |
185 |
166 |
$9K |
| L1812 |
Ko elastic w/joints pre ots |
233 |
210 |
$9K |
| K0738 |
Portable gas oxygen system |
169 |
154 |
$9K |
| E0277 |
Powered pres-redu air mattrs |
78 |
76 |
$8K |
| A4670 |
Automatic bp monitor, dial |
137 |
133 |
$4K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
15 |
15 |
$4K |
| A7046 |
Repl water chamber, pap dev |
2,076 |
1,893 |
$4K |
| E0156 |
Walker seat attachment |
504 |
458 |
$4K |
| L3923 |
Hfo without joints pre cst |
245 |
177 |
$4K |
| E0250 |
Hosp bed fixed ht w/ mattres |
251 |
222 |
$4K |
| L2397 |
Suspension sleeve lower ext |
71 |
55 |
$3K |
| L3924 |
Hfo without joints pre ots |
60 |
50 |
$2K |
| A4624 |
Tracheal suction tube |
96 |
64 |
$2K |
| A7000 |
Disposable canister for pump |
212 |
155 |
$2K |
| A7003 |
Nebulizer administration set |
2,541 |
2,285 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
42 |
40 |
$2K |
| E0135 |
Walker folding adjust/fixed |
45 |
43 |
$1K |
| A7036 |
Pos airway press chinstrap |
173 |
161 |
$1K |
| A7002 |
Tubing used w suction pump |
161 |
114 |
$792.03 |
| E0443 |
Portable 02 contents, gas |
99 |
89 |
$628.01 |
| E2202 |
Seat width 24-27 in |
17 |
12 |
$521.79 |
| E0247 |
Trans bench w/wo comm open |
15 |
14 |
$489.00 |
| A4629 |
Tracheostomy care kit |
14 |
13 |
$334.36 |
| E0100 |
Cane adjust/fixed with tip |
12 |
12 |
$82.50 |