| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
49,249 |
36,755 |
$1.34M |
| E0466 |
Home vent non-invasive inter |
2,936 |
2,047 |
$772K |
| E0603 |
Electric breast pump |
1,672 |
1,561 |
$309K |
| E0601 |
Cont airway pressure device |
10,560 |
8,533 |
$298K |
| E0431 |
Portable gaseous 02 |
33,286 |
25,435 |
$222K |
| E0470 |
Rad w/o backup non-inv intfc |
2,274 |
1,831 |
$157K |
| E0562 |
Humidifier heated used w pap |
2,890 |
2,257 |
$141K |
| A7030 |
Cpap full face mask |
4,080 |
3,041 |
$135K |
| L4360 |
Pneumat walking boot pre cst |
686 |
590 |
$105K |
| E0570 |
Nebulizer with compression |
8,503 |
6,888 |
$95K |
| L3807 |
Whfo w/o joints pre cst |
532 |
455 |
$70K |
| L1832 |
Ko adj jnt pos r sup pre cst |
170 |
139 |
$63K |
| A7034 |
Nasal application device |
2,398 |
1,854 |
$62K |
| L3670 |
So acro/clav can web pre ots |
827 |
733 |
$59K |
| A7031 |
Replacement facemask interfa |
3,648 |
2,653 |
$57K |
| L3908 |
Who cock-up nonmolde pre ots |
1,609 |
1,363 |
$53K |
| E0114 |
Crutch underarm pair no wood |
1,510 |
1,391 |
$51K |
| L4350 |
Ankle control ortho pre ots |
831 |
762 |
$50K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,842 |
2,050 |
$49K |
| A7035 |
Pos airway press headgear |
4,579 |
3,547 |
$41K |
| E0143 |
Walker folding wheeled w/o s |
1,505 |
1,218 |
$39K |
| A7037 |
Pos airway pressure tubing |
4,971 |
3,767 |
$29K |
| L1830 |
Ko immob canvas long pre ots |
466 |
406 |
$27K |
| A4604 |
Tubing with heating element |
1,447 |
1,199 |
$26K |
| K0001 |
Standard wheelchair |
2,968 |
2,230 |
$25K |
| E0163 |
Commode chair with fixed arm |
485 |
403 |
$16K |
| L3260 |
Ambulatory surgical boot eac |
888 |
783 |
$15K |
| E1392 |
Portable oxygen concentrator |
1,376 |
1,003 |
$15K |
| L3809 |
Whfo w/o joints pre ots |
85 |
76 |
$15K |
| A7038 |
Pos airway pressure filter |
8,732 |
6,776 |
$15K |
| L3660 |
So 8 ab rstr can/web pre ots |
222 |
206 |
$13K |
| K0003 |
Lightweight wheelchair |
706 |
563 |
$12K |
| L1902 |
Afo ankle gauntlet pre ots |
248 |
207 |
$11K |
| A7005 |
Nondisposable nebulizer set |
1,629 |
1,342 |
$11K |
| K0002 |
Stnd hemi (low seat) whlchr |
576 |
419 |
$11K |
| A7032 |
Replacement nasal cushion |
685 |
555 |
$10K |
| A7039 |
Filter, non disposable w pap |
2,841 |
2,235 |
$9K |
| E0149 |
Heavy duty wheeled walker |
285 |
255 |
$8K |
| L1810 |
Ko elastic with joints |
119 |
94 |
$7K |
| L1812 |
Ko elastic w/joints pre ots |
79 |
67 |
$7K |
| A7046 |
Repl water chamber, pap dev |
1,280 |
958 |
$6K |
| K0195 |
Elevating whlchair leg rests |
1,002 |
755 |
$5K |
| L4386 |
Non-pneum walk boot pre cst |
47 |
41 |
$5K |
| E0973 |
W/ch access det adj armrest |
2,307 |
916 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
2,232 |
880 |
$2K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
352 |
227 |
$2K |
| E0250 |
Hosp bed fixed ht w/ mattres |
157 |
123 |
$2K |
| A7033 |
Replacement nasal pillows |
148 |
118 |
$2K |
| E0978 |
W/c acc,saf belt pelv strap |
1,058 |
827 |
$1K |
| E0961 |
Wheelchair brake extension |
2,085 |
830 |
$1K |
| L3650 |
So 8 abd restraint pre ots |
26 |
25 |
$944.40 |
| E0951 |
Loop heel |
1,979 |
781 |
$730.09 |
| A7003 |
Nebulizer administration set |
1,681 |
1,367 |
$696.45 |
| K0006 |
Heavy duty wheelchair |
24 |
13 |
$215.97 |