| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
31,639 |
29,480 |
$1.61M |
| E0431 |
Portable gaseous 02 |
25,451 |
24,003 |
$240K |
| E0601 |
Cont airway pressure device |
2,762 |
2,588 |
$197K |
| K0001 |
Standard wheelchair |
13,644 |
12,932 |
$170K |
| E0470 |
Rad w/o backup non-inv intfc |
1,081 |
978 |
$124K |
| A7030 |
Cpap full face mask |
1,762 |
1,604 |
$103K |
| E0570 |
Nebulizer with compression |
4,072 |
3,788 |
$88K |
| E0143 |
Walker folding wheeled w/o s |
2,839 |
2,597 |
$84K |
| E0261 |
Hosp bed semi-electr w/o mat |
3,075 |
2,951 |
$68K |
| A4604 |
Tubing with heating element |
2,295 |
2,087 |
$52K |
| E0603 |
Electric breast pump |
338 |
336 |
$47K |
| E0147 |
Walker variable wheel resist |
226 |
211 |
$42K |
| A7031 |
Replacement facemask interfa |
1,716 |
1,527 |
$36K |
| E0562 |
Humidifier heated used w pap |
288 |
267 |
$31K |
| K0195 |
Elevating whlchair leg rests |
4,218 |
3,800 |
$31K |
| E0424 |
Stationary compressed gas 02 |
283 |
279 |
$30K |
| T4527 |
Adult size pull-on lg |
206 |
202 |
$22K |
| E0466 |
Home vent non-invasive inter |
88 |
86 |
$22K |
| A7035 |
Pos airway press headgear |
1,889 |
1,707 |
$22K |
| K0003 |
Lightweight wheelchair |
1,534 |
1,365 |
$22K |
| E0260 |
Hosp bed semi-electr w/ matt |
907 |
857 |
$18K |
| A7034 |
Nasal application device |
462 |
411 |
$16K |
| E0118 |
Crutch substitute |
340 |
339 |
$14K |
| A7038 |
Pos airway pressure filter |
5,102 |
4,606 |
$14K |
| A4554 |
Disposable underpads |
325 |
310 |
$11K |
| K0823 |
Pwc gp 2 std cap chair |
232 |
227 |
$11K |
| A7005 |
Nondisposable nebulizer set |
878 |
811 |
$11K |
| E0630 |
Patient lift hydraulic |
445 |
438 |
$9K |
| A7032 |
Replacement nasal cushion |
365 |
335 |
$8K |
| K0006 |
Heavy duty wheelchair |
393 |
357 |
$8K |
| E2601 |
Gen w/c cushion wdth < 22 in |
431 |
396 |
$5K |
| T4528 |
Adult size pull-on xl |
26 |
26 |
$4K |
| E2611 |
Gen use back cush wdth <22in |
87 |
78 |
$3K |
| A4520 |
Incontinence garment anytype |
30 |
26 |
$1K |
| A7039 |
Filter, non disposable w pap |
313 |
284 |
$1K |
| T4526 |
Adult size pull-on med |
12 |
12 |
$1K |
| A4351 |
Straight tip urine catheter |
15 |
12 |
$1K |
| A7046 |
Repl water chamber, pap dev |
169 |
157 |
$1K |
| A6533 |
Gc stocking thighlngth 18-30 |
16 |
14 |
$1K |
| K0007 |
Extra heavy duty wheelchair |
12 |
12 |
$888.35 |
| E0951 |
Loop heel |
158 |
76 |
$810.22 |
| E0184 |
Dry pressure mattress |
29 |
28 |
$809.75 |
| K0800 |
Pov group 1 std up to 300lbs |
13 |
13 |
$515.17 |
| A7033 |
Replacement nasal pillows |
30 |
27 |
$391.92 |
| K0002 |
Stnd hemi (low seat) whlchr |
29 |
26 |
$321.71 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$275.11 |
| A7037 |
Pos airway pressure tubing |
35 |
33 |
$231.42 |
| E1038 |
Transport chair pt wt<=300lb |
36 |
36 |
$111.68 |
| E0990 |
Wheelchair elevating leg res |
85 |
83 |
$69.16 |
| A7003 |
Nebulizer administration set |
25 |
25 |
$43.44 |