| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
2,165 |
1,927 |
$760K |
| E1390 |
Oxygen concentrator |
13,027 |
12,077 |
$709K |
| E0601 |
Cont airway pressure device |
14,301 |
13,792 |
$688K |
| E0465 |
Home vent invasive interface |
1,424 |
1,257 |
$642K |
| E0562 |
Humidifier heated used w pap |
3,559 |
3,259 |
$323K |
| E0470 |
Rad w/o backup non-inv intfc |
2,719 |
2,527 |
$321K |
| A7030 |
Cpap full face mask |
3,690 |
3,415 |
$241K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,445 |
3,188 |
$147K |
| K0001 |
Standard wheelchair |
5,187 |
4,928 |
$136K |
| A7034 |
Nasal application device |
3,885 |
3,678 |
$130K |
| E0431 |
Portable gaseous 02 |
5,392 |
5,062 |
$128K |
| E0471 |
Rad w/backup non inv intrfc |
611 |
574 |
$115K |
| A7035 |
Pos airway press headgear |
5,581 |
5,261 |
$108K |
| A4604 |
Tubing with heating element |
3,048 |
2,811 |
$69K |
| A7037 |
Pos airway pressure tubing |
3,800 |
3,628 |
$65K |
| A4623 |
Tracheostomy inner cannula |
851 |
771 |
$53K |
| K0003 |
Lightweight wheelchair |
835 |
773 |
$49K |
| E1392 |
Portable oxygen concentrator |
2,790 |
2,560 |
$40K |
| A4629 |
Tracheostomy care kit |
813 |
752 |
$40K |
| A7031 |
Replacement facemask interfa |
1,337 |
1,138 |
$35K |
| E0143 |
Walker folding wheeled w/o s |
947 |
899 |
$30K |
| E0247 |
Trans bench w/wo comm open |
479 |
442 |
$27K |
| A7038 |
Pos airway pressure filter |
8,769 |
7,363 |
$25K |
| A7526 |
Tracheostomy tube collar |
974 |
867 |
$21K |
| E0570 |
Nebulizer with compression |
1,104 |
990 |
$20K |
| A7032 |
Replacement nasal cushion |
696 |
608 |
$18K |
| A7033 |
Replacement nasal pillows |
700 |
612 |
$17K |
| E0730 |
Tens four lead |
457 |
442 |
$16K |
| A4624 |
Tracheal suction tube |
257 |
238 |
$13K |
| E0630 |
Patient lift hydraulic |
101 |
96 |
$13K |
| K0006 |
Heavy duty wheelchair |
145 |
139 |
$13K |
| A6402 |
Sterile gauze <= 16 sq in |
1,168 |
1,069 |
$12K |
| E0245 |
Tub stool or bench |
340 |
321 |
$11K |
| A7000 |
Disposable canister for pump |
1,094 |
992 |
$8K |
| E0600 |
Suction pump portab hom modl |
200 |
168 |
$7K |
| A4216 |
Sterile water/saline, 10 ml |
489 |
435 |
$6K |
| K0053 |
Elevate footrest articulate |
186 |
159 |
$4K |
| A7002 |
Tubing used w suction pump |
1,019 |
905 |
$4K |
| E0565 |
Compressor air power source |
88 |
86 |
$3K |
| A7046 |
Repl water chamber, pap dev |
961 |
880 |
$3K |
| E0163 |
Commode chair with fixed arm |
88 |
85 |
$2K |
| A4930 |
Sterile, gloves per pair |
62 |
50 |
$2K |
| A4605 |
Trach suction cath close sys |
159 |
142 |
$2K |
| A7521 |
Trach/laryn tube cuffed |
65 |
50 |
$2K |
| K0195 |
Elevating whlchair leg rests |
250 |
230 |
$2K |
| E0149 |
Heavy duty wheeled walker |
80 |
72 |
$1K |
| A4927 |
Non-sterile gloves |
129 |
104 |
$1K |
| A5514 |
Mult den insert dir carv/cam |
28 |
13 |
$980.80 |
| E2601 |
Gen w/c cushion wdth < 22 in |
28 |
26 |
$929.70 |
| A4670 |
Automatic bp monitor, dial |
26 |
26 |
$878.90 |
| E0971 |
Wheelchair anti-tipping devi |
79 |
71 |
$829.28 |
| E0156 |
Walker seat attachment |
104 |
100 |
$726.34 |
| A7012 |
Nebulizer water collec devic |
377 |
318 |
$686.15 |
| A5500 |
Diab shoe for density insert |
26 |
12 |
$582.06 |
| A4628 |
Oropharyngeal suction cath |
169 |
153 |
$567.81 |
| E0244 |
Toilet seat raised |
12 |
12 |
$456.09 |
| E0165 |
Commode chair with detacharm |
27 |
25 |
$444.25 |
| A7003 |
Nebulizer administration set |
196 |
169 |
$319.65 |
| A7525 |
Tracheostomy mask |
191 |
179 |
$225.77 |
| E0990 |
Wheelchair elevating leg res |
20 |
12 |
$224.37 |
| A7036 |
Pos airway press chinstrap |
29 |
24 |
$224.09 |
| A4244 |
Alcohol or peroxide per pint |
25 |
25 |
$20.72 |