| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,619 |
11,618 |
$947K |
| E0570 |
Nebulizer with compression |
3,050 |
3,048 |
$419K |
| E0603 |
Electric breast pump |
1,201 |
1,201 |
$337K |
| E1399 |
Durable medical equipment mi |
2,377 |
2,031 |
$213K |
| K0003 |
Lightweight wheelchair |
5,594 |
5,587 |
$200K |
| E0431 |
Portable gaseous 02 |
8,970 |
8,970 |
$141K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,334 |
3,333 |
$140K |
| E0143 |
Walker folding wheeled w/o s |
2,191 |
2,180 |
$93K |
| E0445 |
Oximeter non-invasive |
420 |
419 |
$45K |
| K0739 |
Repair/svc dme non-oxygen eq |
1,458 |
1,353 |
$43K |
| E0245 |
Tub stool or bench |
1,032 |
1,031 |
$37K |
| E0601 |
Cont airway pressure device |
1,754 |
1,754 |
$34K |
| A6446 |
Conform band s w>=3" <5"/yd |
1,148 |
1,094 |
$31K |
| A4670 |
Automatic bp monitor, dial |
314 |
314 |
$31K |
| K0195 |
Elevating whlchair leg rests |
2,815 |
2,772 |
$24K |
| K0108 |
W/c component-accessory nos |
385 |
216 |
$22K |
| E1038 |
Transport chair pt wt<=300lb |
2,853 |
2,852 |
$17K |
| A6212 |
Foam drg <=16 sq in w/border |
191 |
175 |
$16K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
680 |
680 |
$16K |
| E0562 |
Humidifier heated used w pap |
2,121 |
2,121 |
$14K |
| A7030 |
Cpap full face mask |
333 |
332 |
$13K |
| E0156 |
Walker seat attachment |
1,320 |
1,320 |
$12K |
| B4150 |
Ef complet w/intact nutrient |
130 |
90 |
$11K |
| A4604 |
Tubing with heating element |
632 |
632 |
$10K |
| A7035 |
Pos airway press headgear |
1,038 |
1,036 |
$8K |
| E1161 |
Manual adult wc w tiltinspac |
68 |
68 |
$7K |
| E0163 |
Commode chair with fixed arm |
149 |
149 |
$6K |
| A6197 |
Alginate drsg >16 <=48 sq in |
12 |
12 |
$6K |
| K0822 |
Pwc gp 2 std seat/back |
41 |
41 |
$5K |
| A6216 |
Non-sterile gauze<=16 sq in |
648 |
630 |
$5K |
| B4154 |
Ef spec metabolic noninherit |
41 |
27 |
$5K |
| A7003 |
Nebulizer administration set |
1,776 |
1,763 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
345 |
328 |
$3K |
| E0973 |
W/ch access det adj armrest |
228 |
127 |
$3K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
25 |
25 |
$2K |
| A7038 |
Pos airway pressure filter |
1,257 |
1,254 |
$2K |
| A7034 |
Nasal application device |
38 |
38 |
$2K |
| E2601 |
Gen w/c cushion wdth < 22 in |
29 |
29 |
$2K |
| A4452 |
Waterproof tape |
80 |
79 |
$2K |
| K0006 |
Heavy duty wheelchair |
39 |
39 |
$2K |
| E0951 |
Loop heel |
304 |
304 |
$1K |
| A4450 |
Non-waterproof tape |
359 |
349 |
$1K |
| A4456 |
Adhesive remover, wipes |
75 |
75 |
$880.74 |
| A7046 |
Repl water chamber, pap dev |
200 |
200 |
$859.86 |
| A4357 |
Bedside drainage bag |
51 |
50 |
$752.65 |
| E0247 |
Trans bench w/wo comm open |
12 |
12 |
$745.69 |
| E0630 |
Patient lift hydraulic |
12 |
12 |
$469.75 |
| A5120 |
Skin barrier, wipe or swab |
40 |
39 |
$436.39 |
| E0244 |
Toilet seat raised |
13 |
12 |
$370.97 |
| E0971 |
Wheelchair anti-tipping devi |
62 |
52 |
$366.59 |
| E0100 |
Cane adjust/fixed with tip |
30 |
30 |
$340.51 |
| K0053 |
Elevate footrest articulate |
26 |
26 |
$324.18 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$68.64 |