| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,788 |
9,201 |
$375K |
| E0601 |
Cont airway pressure device |
8,329 |
5,555 |
$265K |
| A7030 |
Cpap full face mask |
4,313 |
3,752 |
$203K |
| A4604 |
Tubing with heating element |
4,529 |
3,998 |
$99K |
| E0562 |
Humidifier heated used w pap |
2,866 |
2,525 |
$95K |
| A7034 |
Nasal application device |
3,009 |
2,664 |
$95K |
| A7031 |
Replacement facemask interfa |
4,434 |
3,699 |
$87K |
| L4361 |
Pneuma/vac walk boot pre ots |
247 |
241 |
$60K |
| E0431 |
Portable gaseous 02 |
8,176 |
6,599 |
$59K |
| E0570 |
Nebulizer with compression |
2,756 |
2,532 |
$57K |
| A7035 |
Pos airway press headgear |
4,956 |
4,409 |
$56K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,573 |
2,233 |
$56K |
| E0143 |
Walker folding wheeled w/o s |
1,757 |
1,648 |
$43K |
| E0470 |
Rad w/o backup non-inv intfc |
615 |
464 |
$42K |
| K0001 |
Standard wheelchair |
3,584 |
3,118 |
$38K |
| A7032 |
Replacement nasal cushion |
1,709 |
1,431 |
$28K |
| E0114 |
Crutch underarm pair no wood |
595 |
589 |
$26K |
| A7046 |
Repl water chamber, pap dev |
3,255 |
2,957 |
$25K |
| E1392 |
Portable oxygen concentrator |
1,491 |
1,303 |
$24K |
| L3660 |
So 8 ab rstr can/web pre ots |
284 |
280 |
$22K |
| A7037 |
Pos airway pressure tubing |
2,699 |
2,353 |
$18K |
| L3809 |
Whfo w/o joints pre ots |
93 |
90 |
$16K |
| A7038 |
Pos airway pressure filter |
8,889 |
6,905 |
$14K |
| L4350 |
Ankle control ortho pre ots |
159 |
158 |
$13K |
| A7033 |
Replacement nasal pillows |
957 |
821 |
$12K |
| K0003 |
Lightweight wheelchair |
707 |
653 |
$11K |
| L3908 |
Who cock-up nonmolde pre ots |
185 |
172 |
$9K |
| E0630 |
Patient lift hydraulic |
500 |
442 |
$9K |
| E0466 |
Home vent non-invasive inter |
27 |
24 |
$8K |
| A7039 |
Filter, non disposable w pap |
2,380 |
2,114 |
$8K |
| E0240 |
Bath/shower chair |
68 |
58 |
$8K |
| E0185 |
Gel pressure mattress pad |
96 |
86 |
$8K |
| E2611 |
Gen use back cush wdth <22in |
125 |
119 |
$8K |
| E0163 |
Commode chair with fixed arm |
167 |
160 |
$6K |
| K0006 |
Heavy duty wheelchair |
185 |
173 |
$6K |
| K0195 |
Elevating whlchair leg rests |
1,068 |
940 |
$6K |
| L3260 |
Ambulatory surgical boot eac |
192 |
190 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
324 |
191 |
$5K |
| L1830 |
Ko immob canvas long pre ots |
96 |
94 |
$5K |
| E2601 |
Gen w/c cushion wdth < 22 in |
251 |
229 |
$4K |
| E0156 |
Walker seat attachment |
480 |
453 |
$4K |
| E0973 |
W/ch access det adj armrest |
81 |
50 |
$3K |
| L1812 |
Ko elastic w/joints pre ots |
47 |
47 |
$3K |
| E0961 |
Wheelchair brake extension |
141 |
88 |
$2K |
| E0165 |
Commode chair with detacharm |
92 |
80 |
$1K |
| A7005 |
Nondisposable nebulizer set |
66 |
66 |
$829.57 |
| E1038 |
Transport chair pt wt<=300lb |
122 |
104 |
$535.71 |
| E0600 |
Suction pump portab hom modl |
17 |
12 |
$251.83 |
| A7036 |
Pos airway press chinstrap |
13 |
12 |
$119.64 |
| A7003 |
Nebulizer administration set |
27 |
26 |
$29.61 |