| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
32,921 |
26,544 |
$1.78M |
| E0466 |
Home vent non-invasive inter |
1,152 |
895 |
$346K |
| E0431 |
Portable gaseous 02 |
19,103 |
15,138 |
$178K |
| E0601 |
Cont airway pressure device |
5,109 |
3,923 |
$154K |
| A7030 |
Cpap full face mask |
2,969 |
2,288 |
$142K |
| E0570 |
Nebulizer with compression |
3,458 |
3,052 |
$82K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,476 |
1,934 |
$74K |
| K0001 |
Standard wheelchair |
4,271 |
3,424 |
$73K |
| E0562 |
Humidifier heated used w pap |
960 |
707 |
$63K |
| A7034 |
Nasal application device |
1,660 |
1,246 |
$52K |
| A7031 |
Replacement facemask interfa |
2,644 |
1,937 |
$50K |
| E0470 |
Rad w/o backup non-inv intfc |
621 |
503 |
$45K |
| E0143 |
Walker folding wheeled w/o s |
1,251 |
934 |
$39K |
| A4604 |
Tubing with heating element |
1,524 |
1,251 |
$39K |
| A7035 |
Pos airway press headgear |
3,325 |
2,561 |
$38K |
| A7037 |
Pos airway pressure tubing |
3,182 |
2,360 |
$34K |
| E0973 |
W/ch access det adj armrest |
2,067 |
837 |
$27K |
| K0003 |
Lightweight wheelchair |
882 |
689 |
$27K |
| L4360 |
Pneumat walking boot pre cst |
196 |
157 |
$25K |
| K0861 |
Pwc gp3 std mult pow opt s/b |
47 |
37 |
$24K |
| L3908 |
Who cock-up nonmolde pre ots |
716 |
555 |
$22K |
| K0823 |
Pwc gp 2 std cap chair |
216 |
170 |
$22K |
| E0114 |
Crutch underarm pair no wood |
1,107 |
980 |
$20K |
| E0163 |
Commode chair with fixed arm |
496 |
386 |
$19K |
| K0007 |
Extra heavy duty wheelchair |
247 |
208 |
$17K |
| A7038 |
Pos airway pressure filter |
6,005 |
4,533 |
$16K |
| A7005 |
Nondisposable nebulizer set |
1,289 |
1,093 |
$16K |
| A7032 |
Replacement nasal cushion |
851 |
627 |
$15K |
| K0006 |
Heavy duty wheelchair |
275 |
234 |
$11K |
| K0195 |
Elevating whlchair leg rests |
755 |
595 |
$10K |
| E0603 |
Electric breast pump |
219 |
186 |
$10K |
| E0971 |
Wheelchair anti-tipping devi |
1,172 |
476 |
$8K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
163 |
123 |
$8K |
| A7046 |
Repl water chamber, pap dev |
1,223 |
965 |
$8K |
| E0630 |
Patient lift hydraulic |
271 |
209 |
$8K |
| E0303 |
Hosp bed hvy dty xtra wide |
72 |
63 |
$8K |
| K0825 |
Pwc gp 2 hd cap chair |
34 |
29 |
$7K |
| L3670 |
So acro/clav can web pre ots |
86 |
76 |
$5K |
| L3660 |
So 8 ab rstr can/web pre ots |
84 |
73 |
$4K |
| E0250 |
Hosp bed fixed ht w/ mattres |
412 |
274 |
$4K |
| A7039 |
Filter, non disposable w pap |
921 |
654 |
$3K |
| E0961 |
Wheelchair brake extension |
823 |
351 |
$3K |
| E0978 |
W/c acc,saf belt pelv strap |
340 |
254 |
$3K |
| E2601 |
Gen w/c cushion wdth < 22 in |
135 |
108 |
$3K |
| L1830 |
Ko immob canvas long pre ots |
71 |
63 |
$3K |
| A7033 |
Replacement nasal pillows |
143 |
112 |
$3K |
| E1392 |
Portable oxygen concentrator |
1,338 |
870 |
$2K |
| E0951 |
Loop heel |
1,739 |
751 |
$2K |
| L3807 |
Whfo w/o joints pre cst |
13 |
12 |
$2K |
| L4350 |
Ankle control ortho pre ots |
43 |
38 |
$2K |
| E0149 |
Heavy duty wheeled walker |
52 |
41 |
$2K |
| E1028 |
W/c manual swingaway |
50 |
12 |
$1K |
| E0245 |
Tub stool or bench |
15 |
12 |
$988.76 |
| A7003 |
Nebulizer administration set |
1,127 |
960 |
$509.49 |
| E0156 |
Walker seat attachment |
19 |
13 |
$94.77 |
| A7015 |
Aerosol mask used w nebulize |
29 |
27 |
$32.96 |