| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,566 |
16,269 |
$1.06M |
| B4100 |
Food thickener oral |
10,388 |
10,378 |
$902K |
| E0601 |
Cont airway pressure device |
7,630 |
7,299 |
$490K |
| E0570 |
Nebulizer with compression |
9,440 |
9,361 |
$391K |
| A7030 |
Cpap full face mask |
5,206 |
5,175 |
$319K |
| B4150 |
Ef complet w/intact nutrient |
3,991 |
3,479 |
$196K |
| A7031 |
Replacement facemask interfa |
4,469 |
4,438 |
$177K |
| B4035 |
Enteral feed supp pump per d |
4,314 |
3,875 |
$166K |
| E0562 |
Humidifier heated used w pap |
4,190 |
3,862 |
$162K |
| E0261 |
Hosp bed semi-electr w/o mat |
6,145 |
6,079 |
$158K |
| B4153 |
Ef hydrolyzed/amino acids |
574 |
487 |
$139K |
| E0431 |
Portable gaseous 02 |
8,942 |
8,769 |
$120K |
| E0470 |
Rad w/o backup non-inv intfc |
760 |
728 |
$92K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,253 |
1,953 |
$81K |
| T4522 |
Adult size brief/diaper med |
708 |
707 |
$71K |
| E0143 |
Walker folding wheeled w/o s |
1,619 |
1,613 |
$63K |
| A7035 |
Pos airway press headgear |
5,208 |
5,184 |
$55K |
| A7034 |
Nasal application device |
1,693 |
1,688 |
$53K |
| K0001 |
Standard wheelchair |
2,639 |
2,586 |
$47K |
| A4604 |
Tubing with heating element |
3,610 |
3,599 |
$47K |
| B4034 |
Enter feed supkit syr by day |
1,380 |
1,297 |
$47K |
| A4554 |
Disposable underpads |
752 |
725 |
$44K |
| E0114 |
Crutch underarm pair no wood |
2,095 |
2,093 |
$41K |
| T4523 |
Adult size brief/diaper lg |
306 |
304 |
$37K |
| A7038 |
Pos airway pressure filter |
7,732 |
7,673 |
$33K |
| A7037 |
Pos airway pressure tubing |
3,343 |
3,319 |
$32K |
| A7005 |
Nondisposable nebulizer set |
1,864 |
1,864 |
$23K |
| E0471 |
Rad w/backup non inv intrfc |
103 |
100 |
$16K |
| A7032 |
Replacement nasal cushion |
351 |
351 |
$16K |
| L3908 |
Who cock-up nonmolde pre ots |
424 |
385 |
$14K |
| L3807 |
Whfo w/o joints pre cst |
104 |
97 |
$11K |
| B9002 |
Enter nutr inf pump any type |
618 |
604 |
$11K |
| L1902 |
Afo ankle gauntlet pre ots |
274 |
273 |
$9K |
| L1830 |
Ko immob canvas long pre ots |
163 |
161 |
$8K |
| A7046 |
Repl water chamber, pap dev |
1,837 |
1,826 |
$7K |
| L3650 |
So 8 abd restraint pre ots |
225 |
224 |
$6K |
| E0184 |
Dry pressure mattress |
146 |
146 |
$6K |
| A7003 |
Nebulizer administration set |
2,520 |
2,493 |
$5K |
| T4524 |
Adult size brief/diaper xl |
37 |
37 |
$5K |
| E0149 |
Heavy duty wheeled walker |
332 |
326 |
$4K |
| L3670 |
So acro/clav can web pre ots |
57 |
57 |
$4K |
| L1820 |
Ko elas w/ condyle pads & jo |
53 |
53 |
$4K |
| E0156 |
Walker seat attachment |
378 |
376 |
$3K |
| B4087 |
Gastro/jejuno tube, std |
281 |
279 |
$2K |
| E0630 |
Patient lift hydraulic |
106 |
105 |
$2K |
| A7033 |
Replacement nasal pillows |
82 |
80 |
$2K |
| A4357 |
Bedside drainage bag |
198 |
197 |
$2K |
| E0266 |
Hosp bed total elec w/o matt |
553 |
540 |
$1K |
| E0163 |
Commode chair with fixed arm |
12 |
12 |
$614.43 |
| K0195 |
Elevating whlchair leg rests |
194 |
193 |
$544.55 |
| E0240 |
Bath/shower chair |
14 |
13 |
$349.97 |
| E0990 |
Wheelchair elevating leg res |
12 |
12 |
$300.50 |
| T4537 |
Reusable underpad bed size |
13 |
12 |
$263.08 |
| B4036 |
Enteral feed sup kit grav by |
14 |
12 |
$221.68 |
| B4088 |
Gastro/jejuno tube, low-pro |
13 |
13 |
$176.62 |
| K0006 |
Heavy duty wheelchair |
12 |
12 |
$141.93 |
| E0600 |
Suction pump portab hom modl |
12 |
12 |
$84.03 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$78.52 |
| A7000 |
Disposable canister for pump |
13 |
12 |
$58.44 |
| A7002 |
Tubing used w suction pump |
28 |
25 |
$20.02 |