| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
59,294 |
58,813 |
$3.58M |
| E0466 |
Home vent non-invasive inter |
1,458 |
1,452 |
$739K |
| E0431 |
Portable gaseous 02 |
42,620 |
42,146 |
$564K |
| K0001 |
Standard wheelchair |
13,207 |
12,995 |
$424K |
| E0601 |
Cont airway pressure device |
9,034 |
8,979 |
$366K |
| A7034 |
Nasal application device |
8,747 |
8,696 |
$311K |
| A7030 |
Cpap full face mask |
6,793 |
6,755 |
$251K |
| E0570 |
Nebulizer with compression |
12,135 |
11,974 |
$222K |
| A4604 |
Tubing with heating element |
10,731 |
10,676 |
$221K |
| A7032 |
Replacement nasal cushion |
7,356 |
7,248 |
$212K |
| E0562 |
Humidifier heated used w pap |
2,762 |
2,748 |
$207K |
| A7031 |
Replacement facemask interfa |
6,974 |
6,893 |
$186K |
| E0470 |
Rad w/o backup non-inv intfc |
1,762 |
1,751 |
$150K |
| A7035 |
Pos airway press headgear |
10,814 |
10,757 |
$147K |
| A7033 |
Replacement nasal pillows |
4,617 |
4,568 |
$145K |
| E0143 |
Walker folding wheeled w/o s |
3,106 |
3,074 |
$133K |
| E0295 |
Hosp bed semi-elect w/o matt |
2,028 |
2,004 |
$128K |
| E0465 |
Home vent invasive interface |
213 |
148 |
$127K |
| A7038 |
Pos airway pressure filter |
23,213 |
22,918 |
$117K |
| E1392 |
Portable oxygen concentrator |
6,015 |
5,987 |
$115K |
| E0163 |
Commode chair with fixed arm |
1,563 |
1,542 |
$90K |
| E0247 |
Trans bench w/wo comm open |
1,095 |
1,081 |
$88K |
| K0195 |
Elevating whlchair leg rests |
5,845 |
5,654 |
$77K |
| E0630 |
Patient lift hydraulic |
1,402 |
1,381 |
$69K |
| K0003 |
Lightweight wheelchair |
1,417 |
1,405 |
$67K |
| A7046 |
Repl water chamber, pap dev |
9,021 |
8,978 |
$67K |
| E2611 |
Gen use back cush wdth <22in |
478 |
469 |
$59K |
| E0600 |
Suction pump portab hom modl |
1,865 |
1,816 |
$57K |
| E0245 |
Tub stool or bench |
896 |
886 |
$53K |
| A7037 |
Pos airway pressure tubing |
5,039 |
5,003 |
$51K |
| K0007 |
Extra heavy duty wheelchair |
465 |
455 |
$50K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,107 |
1,085 |
$38K |
| E0971 |
Wheelchair anti-tipping devi |
1,456 |
1,193 |
$37K |
| A7039 |
Filter, non disposable w pap |
5,170 |
5,139 |
$26K |
| K0004 |
High strength ltwt whlchr |
290 |
286 |
$25K |
| A7005 |
Nondisposable nebulizer set |
1,855 |
1,827 |
$25K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,247 |
1,244 |
$21K |
| E0961 |
Wheelchair brake extension |
1,303 |
1,063 |
$18K |
| K0006 |
Heavy duty wheelchair |
245 |
245 |
$17K |
| E0240 |
Bath/shower chair |
287 |
286 |
$15K |
| E0156 |
Walker seat attachment |
1,247 |
1,232 |
$14K |
| E0443 |
Portable 02 contents, gas |
970 |
965 |
$11K |
| E0565 |
Compressor air power source |
247 |
240 |
$11K |
| E1038 |
Transport chair pt wt<=300lb |
760 |
750 |
$10K |
| K0738 |
Portable gas oxygen system |
288 |
288 |
$9K |
| E0114 |
Crutch underarm pair no wood |
245 |
243 |
$8K |
| E0471 |
Rad w/backup non inv intrfc |
24 |
24 |
$7K |
| E0181 |
Press pad alternating w/ pum |
419 |
415 |
$6K |
| E0271 |
Mattress innerspring |
647 |
633 |
$4K |
| E0305 |
Rails bed side half length |
573 |
567 |
$4K |
| E0165 |
Commode chair with detacharm |
126 |
125 |
$4K |
| E0185 |
Gel pressure mattress pad |
41 |
41 |
$3K |
| A7036 |
Pos airway press chinstrap |
528 |
522 |
$3K |
| E1226 |
Manual fully reclining back |
13 |
13 |
$1K |
| E0141 |
Rigid wheeled walker adj/fix |
16 |
16 |
$955.95 |
| L1830 |
Ko immob canvas long pre ots |
13 |
13 |
$905.42 |
| E0244 |
Toilet seat raised |
15 |
15 |
$723.51 |
| A7000 |
Disposable canister for pump |
43 |
39 |
$391.49 |
| E0910 |
Trapeze bar attached to bed |
25 |
25 |
$175.32 |
| E0105 |
Cane adjust/fixed quad/3 pro |
12 |
12 |
$149.63 |
| A7015 |
Aerosol mask used w nebulize |
88 |
82 |
$140.56 |
| E0978 |
W/c acc,saf belt pelv strap |
13 |
13 |
$120.90 |
| A7003 |
Nebulizer administration set |
153 |
145 |
$93.32 |
| K0052 |
Swingaway detach ftrest repl |
12 |
12 |
$68.51 |
| A7013 |
Disposable compressor filter |
230 |
226 |
$61.50 |