| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,621 |
18,542 |
$1.40M |
| E0601 |
Cont airway pressure device |
17,616 |
17,580 |
$875K |
| E0260 |
Hosp bed semi-electr w/ matt |
8,437 |
8,392 |
$306K |
| K0001 |
Standard wheelchair |
16,557 |
16,451 |
$300K |
| E0570 |
Nebulizer with compression |
6,116 |
6,093 |
$262K |
| E0470 |
Rad w/o backup non-inv intfc |
2,449 |
2,442 |
$259K |
| E0431 |
Portable gaseous 02 |
14,706 |
14,659 |
$221K |
| E0562 |
Humidifier heated used w pap |
18,836 |
18,788 |
$189K |
| A7030 |
Cpap full face mask |
2,021 |
2,000 |
$102K |
| E0143 |
Walker folding wheeled w/o s |
2,557 |
2,532 |
$96K |
| E0630 |
Patient lift hydraulic |
2,695 |
2,680 |
$73K |
| B4152 |
Ef calorie dense>/=1.5kcal |
523 |
493 |
$57K |
| A7034 |
Nasal application device |
1,838 |
1,831 |
$53K |
| K0006 |
Heavy duty wheelchair |
1,528 |
1,516 |
$44K |
| A7035 |
Pos airway press headgear |
2,993 |
2,972 |
$40K |
| A7005 |
Nondisposable nebulizer set |
2,661 |
2,646 |
$39K |
| K0007 |
Extra heavy duty wheelchair |
832 |
829 |
$35K |
| K0195 |
Elevating whlchair leg rests |
7,064 |
6,981 |
$34K |
| A7037 |
Pos airway pressure tubing |
2,084 |
2,078 |
$34K |
| E0163 |
Commode chair with fixed arm |
1,073 |
1,060 |
$29K |
| A7031 |
Replacement facemask interfa |
1,133 |
1,120 |
$28K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,309 |
1,271 |
$28K |
| A7038 |
Pos airway pressure filter |
4,541 |
4,503 |
$22K |
| B4035 |
Enteral feed supp pump per d |
178 |
168 |
$17K |
| E0971 |
Wheelchair anti-tipping devi |
2,912 |
1,711 |
$13K |
| K0003 |
Lightweight wheelchair |
581 |
575 |
$13K |
| B9002 |
Enter nutr inf pump any type |
369 |
365 |
$12K |
| A4604 |
Tubing with heating element |
1,388 |
1,382 |
$11K |
| A7046 |
Repl water chamber, pap dev |
2,157 |
2,143 |
$10K |
| E0156 |
Walker seat attachment |
1,307 |
1,301 |
$10K |
| E1392 |
Portable oxygen concentrator |
823 |
822 |
$8K |
| A7032 |
Replacement nasal cushion |
346 |
341 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
36 |
36 |
$7K |
| E0149 |
Heavy duty wheeled walker |
162 |
160 |
$7K |
| E0165 |
Commode chair with detacharm |
757 |
751 |
$5K |
| A4627 |
Spacer bag/reservoir |
379 |
378 |
$5K |
| E0951 |
Loop heel |
2,799 |
1,632 |
$5K |
| E0303 |
Hosp bed hvy dty xtra wide |
48 |
48 |
$3K |
| A7033 |
Replacement nasal pillows |
140 |
138 |
$3K |
| E1226 |
Manual fully reclining back |
126 |
124 |
$3K |
| A4595 |
Tens suppl 2 lead per month |
137 |
129 |
$2K |
| E0600 |
Suction pump portab hom modl |
173 |
171 |
$2K |
| E0776 |
Iv pole |
353 |
350 |
$2K |
| E0561 |
Humidifier nonheated w pap |
159 |
159 |
$1K |
| A6402 |
Sterile gauze <= 16 sq in |
206 |
193 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
935 |
929 |
$1K |
| K0002 |
Stnd hemi (low seat) whlchr |
54 |
54 |
$791.31 |
| E0135 |
Walker folding adjust/fixed |
24 |
24 |
$496.81 |
| E1038 |
Transport chair pt wt<=300lb |
53 |
53 |
$285.06 |
| E0565 |
Compressor air power source |
12 |
12 |
$236.24 |
| E0181 |
Press pad alternating w/ pum |
26 |
26 |
$221.95 |
| A7003 |
Nebulizer administration set |
134 |
133 |
$186.28 |
| E0961 |
Wheelchair brake extension |
15 |
12 |
$94.56 |
| A7036 |
Pos airway press chinstrap |
13 |
13 |
$35.57 |
| A7013 |
Disposable compressor filter |
129 |
125 |
$10.75 |