| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
12,473 |
12,249 |
$2.76M |
| E1390 |
Oxygen concentrator |
26,745 |
25,408 |
$2.06M |
| L4361 |
Pneuma/vac walk boot pre ots |
4,842 |
4,709 |
$1.01M |
| E0466 |
Home vent non-invasive inter |
1,075 |
951 |
$909K |
| E0601 |
Cont airway pressure device |
21,348 |
20,506 |
$856K |
| E0570 |
Nebulizer with compression |
18,932 |
18,163 |
$633K |
| A7030 |
Cpap full face mask |
6,052 |
5,795 |
$508K |
| A4604 |
Tubing with heating element |
14,062 |
13,512 |
$506K |
| E0114 |
Crutch underarm pair no wood |
9,508 |
9,329 |
$454K |
| E1392 |
Portable oxygen concentrator |
14,158 |
13,502 |
$446K |
| A7034 |
Nasal application device |
6,503 |
6,253 |
$376K |
| E0143 |
Walker folding wheeled w/o s |
6,825 |
6,579 |
$376K |
| L3908 |
Who cock-up nonmolde pre ots |
6,447 |
6,207 |
$300K |
| E0562 |
Humidifier heated used w pap |
1,722 |
1,656 |
$285K |
| E0604 |
Hosp grade elec breast pump |
4,805 |
4,598 |
$277K |
| A7035 |
Pos airway press headgear |
11,563 |
11,121 |
$224K |
| K0738 |
Portable gas oxygen system |
6,816 |
6,526 |
$208K |
| E0470 |
Rad w/o backup non-inv intfc |
1,645 |
1,586 |
$174K |
| E0118 |
Crutch substitute |
2,739 |
2,676 |
$159K |
| E0471 |
Rad w/backup non inv intrfc |
631 |
566 |
$158K |
| A7005 |
Nondisposable nebulizer set |
7,197 |
7,068 |
$148K |
| L3809 |
Whfo w/o joints pre ots |
2,742 |
2,662 |
$143K |
| A7031 |
Replacement facemask interfa |
3,801 |
3,594 |
$142K |
| L4350 |
Ankle control ortho pre ots |
2,072 |
2,041 |
$118K |
| A7038 |
Pos airway pressure filter |
19,233 |
18,400 |
$106K |
| L1902 |
Afo ankle gauntlet pre ots |
1,619 |
1,579 |
$105K |
| L0628 |
Lso flex no ri stays pre ots |
1,449 |
1,393 |
$94K |
| A4670 |
Automatic bp monitor, dial |
1,268 |
1,239 |
$90K |
| L4387 |
Non-pneum walk boot pre ots |
540 |
524 |
$87K |
| E0245 |
Tub stool or bench |
1,333 |
1,274 |
$86K |
| A7046 |
Repl water chamber, pap dev |
6,344 |
6,060 |
$75K |
| L1830 |
Ko immob canvas long pre ots |
1,036 |
1,019 |
$65K |
| A7032 |
Replacement nasal cushion |
2,161 |
2,047 |
$65K |
| A4627 |
Spacer bag/reservoir |
1,537 |
1,513 |
$46K |
| E0100 |
Cane adjust/fixed with tip |
1,918 |
1,864 |
$45K |
| A6530 |
Compression stocking bk18-30 |
436 |
332 |
$27K |
| T4526 |
Adult size pull-on med |
223 |
215 |
$26K |
| L1820 |
Ko elas w/ condyle pads & jo |
181 |
175 |
$26K |
| T4527 |
Adult size pull-on lg |
202 |
194 |
$23K |
| A7033 |
Replacement nasal pillows |
844 |
816 |
$21K |
| E0600 |
Suction pump portab hom modl |
472 |
416 |
$20K |
| A4467 |
Belt strap sleev grmnt cover |
1,099 |
1,043 |
$19K |
| T4534 |
Youth size pull-on |
114 |
110 |
$19K |
| E0156 |
Walker seat attachment |
1,076 |
1,038 |
$18K |
| L3260 |
Ambulatory surgical boot eac |
1,741 |
1,702 |
$16K |
| E0149 |
Heavy duty wheeled walker |
702 |
583 |
$14K |
| T4535 |
Disposable liner/shield/pad |
112 |
105 |
$8K |
| E0244 |
Toilet seat raised |
139 |
133 |
$8K |
| E0163 |
Commode chair with fixed arm |
121 |
111 |
$7K |
| L4397 |
Static or dynami afo pre ots |
57 |
56 |
$6K |
| T4541 |
Large disposable underpad |
111 |
107 |
$6K |
| A7039 |
Filter, non disposable w pap |
723 |
681 |
$6K |
| E0135 |
Walker folding adjust/fixed |
61 |
58 |
$3K |
| A7037 |
Pos airway pressure tubing |
202 |
187 |
$3K |
| E0247 |
Trans bench w/wo comm open |
55 |
51 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,520 |
1,507 |
$2K |
| T4528 |
Adult size pull-on xl |
13 |
13 |
$2K |
| L1833 |
Ko adj jnt pos r sup pre ots |
12 |
12 |
$2K |
| E0159 |
Brake for wheeled walker |
128 |
123 |
$2K |
| L1812 |
Ko elastic w/joints pre ots |
16 |
13 |
$1K |
| L3265 |
Plastazote sandal each |
26 |
24 |
$471.52 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$157.52 |