| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
35,751 |
33,159 |
$1.18M |
| E0466 |
Home vent non-invasive inter |
2,478 |
2,298 |
$733K |
| E0260 |
Hosp bed semi-electr w/ matt |
9,626 |
9,001 |
$192K |
| K0001 |
Standard wheelchair |
8,115 |
7,492 |
$115K |
| K0823 |
Pwc gp 2 std cap chair |
1,908 |
1,735 |
$107K |
| E0630 |
Patient lift hydraulic |
3,936 |
3,696 |
$77K |
| E0261 |
Hosp bed semi-electr w/o mat |
3,106 |
2,875 |
$50K |
| E0431 |
Portable gaseous 02 |
4,648 |
4,336 |
$43K |
| E0570 |
Nebulizer with compression |
12,124 |
10,801 |
$40K |
| E0301 |
Hd hosp bed, 350-600 lbs |
505 |
481 |
$31K |
| E0601 |
Cont airway pressure device |
1,852 |
1,808 |
$29K |
| E0277 |
Powered pres-redu air mattrs |
632 |
574 |
$27K |
| K0007 |
Extra heavy duty wheelchair |
268 |
241 |
$19K |
| E0181 |
Press pad alternating w/ pum |
3,039 |
2,829 |
$14K |
| E0603 |
Electric breast pump |
112 |
97 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
494 |
431 |
$7K |
| A7005 |
Nondisposable nebulizer set |
1,313 |
1,168 |
$7K |
| K0825 |
Pwc gp 2 hd cap chair |
54 |
37 |
$7K |
| E0971 |
Wheelchair anti-tipping devi |
538 |
340 |
$7K |
| E0910 |
Trapeze bar attached to bed |
1,408 |
1,286 |
$6K |
| E0600 |
Suction pump portab hom modl |
526 |
472 |
$6K |
| E0303 |
Hosp bed hvy dty xtra wide |
150 |
119 |
$5K |
| E0961 |
Wheelchair brake extension |
394 |
354 |
$4K |
| E2611 |
Gen use back cush wdth <22in |
54 |
47 |
$3K |
| E0184 |
Dry pressure mattress |
121 |
105 |
$3K |
| E0250 |
Hosp bed fixed ht w/ mattres |
213 |
202 |
$2K |
| E0185 |
Gel pressure mattress pad |
77 |
69 |
$2K |
| K0006 |
Heavy duty wheelchair |
136 |
112 |
$2K |
| E0156 |
Walker seat attachment |
450 |
380 |
$2K |
| A7031 |
Replacement facemask interfa |
68 |
64 |
$1K |
| A7038 |
Pos airway pressure filter |
612 |
513 |
$1K |
| A7030 |
Cpap full face mask |
39 |
38 |
$1K |
| E0305 |
Rails bed side half length |
362 |
340 |
$1K |
| E0149 |
Heavy duty wheeled walker |
183 |
157 |
$1K |
| A7035 |
Pos airway press headgear |
127 |
122 |
$913.36 |
| A7015 |
Aerosol mask used w nebulize |
674 |
572 |
$638.56 |
| E2601 |
Gen w/c cushion wdth < 22 in |
35 |
31 |
$551.13 |
| A4604 |
Tubing with heating element |
108 |
107 |
$484.10 |
| K0195 |
Elevating whlchair leg rests |
138 |
130 |
$424.78 |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$315.00 |
| A7034 |
Nasal application device |
17 |
15 |
$272.68 |
| E0163 |
Commode chair with fixed arm |
14 |
12 |
$166.53 |
| A7037 |
Pos airway pressure tubing |
31 |
26 |
$130.09 |
| E1038 |
Transport chair pt wt<=300lb |
13 |
13 |
$125.17 |
| E1392 |
Portable oxygen concentrator |
107 |
106 |
$34.43 |