| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,269 |
1,184 |
$1.44M |
| E0601 |
Cont airway pressure device |
22,773 |
20,362 |
$1.21M |
| E1390 |
Oxygen concentrator |
14,753 |
13,092 |
$1.03M |
| E0424 |
Stationary compressed gas 02 |
10,622 |
9,370 |
$989K |
| E0260 |
Hosp bed semi-electr w/ matt |
9,402 |
8,495 |
$625K |
| B4035 |
Enteral feed supp pump per d |
4,254 |
3,355 |
$528K |
| E0471 |
Rad w/backup non inv intrfc |
1,468 |
1,406 |
$474K |
| E0562 |
Humidifier heated used w pap |
26,943 |
24,110 |
$460K |
| A7030 |
Cpap full face mask |
3,533 |
3,029 |
$379K |
| B9002 |
Enter nutr inf pump any type |
3,767 |
3,361 |
$330K |
| A7034 |
Nasal application device |
4,580 |
3,805 |
$288K |
| E0445 |
Oximeter non-invasive |
2,434 |
2,122 |
$274K |
| A4624 |
Tracheal suction tube |
1,954 |
1,805 |
$256K |
| K0001 |
Standard wheelchair |
7,519 |
6,851 |
$224K |
| E0470 |
Rad w/o backup non-inv intfc |
2,565 |
2,348 |
$199K |
| A4629 |
Tracheostomy care kit |
2,042 |
1,921 |
$185K |
| E0431 |
Portable gaseous 02 |
9,359 |
8,423 |
$153K |
| A7035 |
Pos airway press headgear |
7,719 |
6,542 |
$150K |
| A7037 |
Pos airway pressure tubing |
7,945 |
6,730 |
$148K |
| B4154 |
Ef spec metabolic noninherit |
444 |
386 |
$106K |
| E1392 |
Portable oxygen concentrator |
41 |
40 |
$102K |
| B4153 |
Ef hydrolyzed/amino acids |
275 |
241 |
$100K |
| A7526 |
Tracheostomy tube collar |
1,112 |
1,066 |
$92K |
| B4152 |
Ef calorie dense>/=1.5kcal |
839 |
701 |
$91K |
| A7520 |
Trach/laryn tube non-cuffed |
699 |
635 |
$89K |
| E0600 |
Suction pump portab hom modl |
1,998 |
1,792 |
$61K |
| B4161 |
Ef ped hydrolyzed/amino acid |
63 |
48 |
$59K |
| B4034 |
Enter feed supkit syr by day |
865 |
680 |
$56K |
| A7038 |
Pos airway pressure filter |
5,127 |
4,344 |
$49K |
| E1399 |
Durable medical equipment mi |
525 |
398 |
$48K |
| K0195 |
Elevating whlchair leg rests |
3,748 |
3,463 |
$46K |
| A7039 |
Filter, non disposable w pap |
6,900 |
5,871 |
$45K |
| E0776 |
Iv pole |
3,752 |
3,352 |
$43K |
| A7001 |
Nondisposable pump canister |
1,088 |
1,047 |
$43K |
| E0181 |
Press pad alternating w/ pum |
1,645 |
1,579 |
$31K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
445 |
287 |
$30K |
| E0163 |
Commode chair with fixed arm |
369 |
329 |
$29K |
| E0135 |
Walker folding adjust/fixed |
466 |
453 |
$26K |
| E0443 |
Portable 02 contents, gas |
543 |
463 |
$23K |
| A7036 |
Pos airway press chinstrap |
1,807 |
1,561 |
$18K |
| E0303 |
Hosp bed hvy dty xtra wide |
91 |
91 |
$17K |
| E0973 |
W/ch access det adj armrest |
1,924 |
1,749 |
$13K |
| E0143 |
Walker folding wheeled w/o s |
176 |
167 |
$13K |
| K0006 |
Heavy duty wheelchair |
121 |
120 |
$12K |
| A5063 |
Drain ostomy pouch w/flange |
215 |
201 |
$10K |
| E0441 |
Stationary o2 contents, gas |
191 |
116 |
$7K |
| B4087 |
Gastro/jejuno tube, std |
41 |
36 |
$7K |
| A7002 |
Tubing used w suction pump |
1,567 |
1,491 |
$5K |
| A7504 |
Tracheostoma hmes filter |
186 |
175 |
$4K |
| E0630 |
Patient lift hydraulic |
38 |
38 |
$3K |
| A4253 |
Blood glucose/reagent strips |
205 |
199 |
$2K |
| E0607 |
Blood glucose monitor home |
25 |
25 |
$2K |
| E0156 |
Walker seat attachment |
24 |
24 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
25 |
24 |
$1K |
| A4628 |
Oropharyngeal suction cath |
23 |
14 |
$1K |
| A4618 |
Breathing circuits |
109 |
101 |
$1K |
| A7000 |
Disposable canister for pump |
77 |
76 |
$602.42 |
| A4406 |
Pectin based ostomy paste |
110 |
108 |
$506.52 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$180.72 |
| A4259 |
Lancets per box |
204 |
199 |
$145.52 |