| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,261 |
9,199 |
$674K |
| E0601 |
Cont airway pressure device |
8,091 |
7,929 |
$539K |
| E0603 |
Electric breast pump |
2,326 |
2,325 |
$334K |
| E0570 |
Nebulizer with compression |
5,548 |
5,503 |
$252K |
| A7030 |
Cpap full face mask |
3,219 |
3,200 |
$214K |
| E0562 |
Humidifier heated used w pap |
3,945 |
3,858 |
$177K |
| B4100 |
Food thickener oral |
1,627 |
1,627 |
$156K |
| T4523 |
Adult size brief/diaper lg |
834 |
833 |
$93K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,672 |
1,654 |
$92K |
| E0143 |
Walker folding wheeled w/o s |
1,841 |
1,834 |
$91K |
| K0001 |
Standard wheelchair |
2,531 |
2,488 |
$88K |
| E0470 |
Rad w/o backup non-inv intfc |
591 |
580 |
$78K |
| E0431 |
Portable gaseous 02 |
5,032 |
5,003 |
$78K |
| A7031 |
Replacement facemask interfa |
2,233 |
2,205 |
$73K |
| T4522 |
Adult size brief/diaper med |
809 |
808 |
$72K |
| A7035 |
Pos airway press headgear |
4,208 |
4,193 |
$47K |
| A7034 |
Nasal application device |
1,630 |
1,620 |
$44K |
| A7037 |
Pos airway pressure tubing |
3,304 |
3,286 |
$34K |
| T4524 |
Adult size brief/diaper xl |
233 |
232 |
$29K |
| E0630 |
Patient lift hydraulic |
340 |
338 |
$22K |
| A7038 |
Pos airway pressure filter |
5,973 |
5,933 |
$18K |
| A7032 |
Replacement nasal cushion |
573 |
570 |
$18K |
| A4604 |
Tubing with heating element |
1,757 |
1,753 |
$16K |
| A4554 |
Disposable underpads |
342 |
338 |
$15K |
| E0240 |
Bath/shower chair |
475 |
473 |
$14K |
| A4351 |
Straight tip urine catheter |
65 |
63 |
$10K |
| E0471 |
Rad w/backup non inv intrfc |
67 |
67 |
$9K |
| E0990 |
Wheelchair elevating leg res |
383 |
365 |
$8K |
| E0156 |
Walker seat attachment |
666 |
662 |
$8K |
| L3908 |
Who cock-up nonmolde pre ots |
210 |
155 |
$8K |
| E0163 |
Commode chair with fixed arm |
139 |
139 |
$7K |
| A7033 |
Replacement nasal pillows |
185 |
179 |
$4K |
| A7005 |
Nondisposable nebulizer set |
231 |
231 |
$3K |
| A6530 |
Compression stocking bk18-30 |
98 |
64 |
$3K |
| E0247 |
Trans bench w/wo comm open |
46 |
45 |
$3K |
| E0149 |
Heavy duty wheeled walker |
129 |
128 |
$3K |
| A7046 |
Repl water chamber, pap dev |
793 |
786 |
$2K |
| A7003 |
Nebulizer administration set |
806 |
803 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
182 |
111 |
$2K |
| K0195 |
Elevating whlchair leg rests |
261 |
256 |
$1K |
| E0100 |
Cane adjust/fixed with tip |
79 |
79 |
$724.61 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$318.72 |
| A7036 |
Pos airway press chinstrap |
26 |
26 |
$186.17 |