| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
3,095 |
2,818 |
$1.61M |
| E1390 |
Oxygen concentrator |
33,207 |
27,087 |
$1.29M |
| B4035 |
Enteral feed supp pump per d |
5,808 |
4,610 |
$1.09M |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,176 |
1,673 |
$992K |
| E0466 |
Home vent non-invasive inter |
2,644 |
2,370 |
$927K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,250 |
2,691 |
$545K |
| A4629 |
Tracheostomy care kit |
4,031 |
3,206 |
$277K |
| A7526 |
Tracheostomy tube collar |
4,519 |
3,466 |
$230K |
| A4605 |
Trach suction cath close sys |
2,586 |
2,062 |
$210K |
| A4624 |
Tracheal suction tube |
2,132 |
1,558 |
$196K |
| A7030 |
Cpap full face mask |
5,708 |
4,738 |
$195K |
| E0431 |
Portable gaseous 02 |
21,087 |
17,890 |
$193K |
| E0482 |
Cough stimulating device |
597 |
577 |
$150K |
| A7031 |
Replacement facemask interfa |
9,158 |
7,662 |
$147K |
| B9002 |
Enter nutr inf pump any type |
2,254 |
2,122 |
$145K |
| E0445 |
Oximeter non-invasive |
2,758 |
2,521 |
$139K |
| E0601 |
Cont airway pressure device |
7,053 |
5,970 |
$136K |
| A7507 |
Integrated filter & holder |
2,391 |
1,752 |
$127K |
| E0277 |
Powered pres-redu air mattrs |
365 |
329 |
$110K |
| B4034 |
Enter feed supkit syr by day |
1,737 |
1,365 |
$106K |
| A4604 |
Tubing with heating element |
6,374 |
5,299 |
$95K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,043 |
796 |
$79K |
| E0261 |
Hosp bed semi-electr w/o mat |
948 |
877 |
$76K |
| A7034 |
Nasal application device |
3,618 |
3,006 |
$71K |
| A7032 |
Replacement nasal cushion |
4,170 |
3,420 |
$66K |
| K0001 |
Standard wheelchair |
4,600 |
3,855 |
$59K |
| E0600 |
Suction pump portab hom modl |
2,904 |
2,719 |
$59K |
| E0562 |
Humidifier heated used w pap |
3,515 |
3,016 |
$57K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,064 |
2,611 |
$56K |
| E0143 |
Walker folding wheeled w/o s |
2,392 |
2,091 |
$55K |
| A7000 |
Disposable canister for pump |
5,290 |
4,221 |
$46K |
| A7035 |
Pos airway press headgear |
5,118 |
4,262 |
$38K |
| E0570 |
Nebulizer with compression |
5,200 |
4,597 |
$37K |
| A7002 |
Tubing used w suction pump |
6,331 |
4,336 |
$35K |
| A7038 |
Pos airway pressure filter |
16,900 |
13,965 |
$35K |
| E0470 |
Rad w/o backup non-inv intfc |
806 |
680 |
$34K |
| A4623 |
Tracheostomy inner cannula |
762 |
590 |
$32K |
| E1392 |
Portable oxygen concentrator |
3,801 |
2,957 |
$31K |
| E0776 |
Iv pole |
1,994 |
1,888 |
$28K |
| E0630 |
Patient lift hydraulic |
752 |
672 |
$27K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,085 |
969 |
$26K |
| A7033 |
Replacement nasal pillows |
2,002 |
1,668 |
$25K |
| K0195 |
Elevating whlchair leg rests |
3,626 |
3,004 |
$23K |
| A4606 |
Oxygen probe used w oximeter |
2,563 |
1,550 |
$20K |
| A7046 |
Repl water chamber, pap dev |
4,386 |
3,609 |
$19K |
| A4628 |
Oropharyngeal suction cath |
4,383 |
3,316 |
$19K |
| A7520 |
Trach/laryn tube non-cuffed |
912 |
729 |
$19K |
| A7037 |
Pos airway pressure tubing |
3,224 |
2,645 |
$16K |
| E0265 |
Hosp bed total electr w/ mat |
119 |
115 |
$15K |
| B4149 |
Ef blenderized foods |
43 |
36 |
$15K |
| K0003 |
Lightweight wheelchair |
862 |
737 |
$12K |
| E0118 |
Crutch substitute |
198 |
177 |
$8K |
| A7003 |
Nebulizer administration set |
3,882 |
3,140 |
$8K |
| A7509 |
Heat & moisture exchange sys |
233 |
216 |
$8K |
| L3660 |
So 8 ab rstr can/web pre ots |
197 |
176 |
$7K |
| K0002 |
Stnd hemi (low seat) whlchr |
280 |
226 |
$6K |
| E0303 |
Hosp bed hvy dty xtra wide |
57 |
53 |
$6K |
| A7005 |
Nondisposable nebulizer set |
729 |
598 |
$4K |
| A4618 |
Breathing circuits |
2,107 |
1,574 |
$4K |
| E0114 |
Crutch underarm pair no wood |
117 |
112 |
$3K |
| E0565 |
Compressor air power source |
121 |
106 |
$3K |
| A7521 |
Trach/laryn tube cuffed |
125 |
103 |
$3K |
| E0184 |
Dry pressure mattress |
44 |
39 |
$3K |
| A7012 |
Nebulizer water collec devic |
733 |
510 |
$3K |
| A7525 |
Tracheostomy mask |
2,078 |
1,517 |
$2K |
| E0149 |
Heavy duty wheeled walker |
57 |
48 |
$2K |
| A7039 |
Filter, non disposable w pap |
530 |
456 |
$2K |
| A7007 |
Lg vol nebulizer disposable |
300 |
230 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
299 |
181 |
$251.92 |
| A7015 |
Aerosol mask used w nebulize |
265 |
228 |
$242.34 |
| A7020 |
Interface, cough stim device |
20 |
17 |
$127.81 |
| E0156 |
Walker seat attachment |
49 |
37 |
$116.72 |
| E0961 |
Wheelchair brake extension |
73 |
37 |
$54.78 |
| A4322 |
Irrigation syringe |
36 |
31 |
$14.49 |
| A4615 |
Cannula nasal |
52 |
41 |
$4.06 |
| A4616 |
Tubing (oxygen) per foot |
87 |
70 |
$1.20 |
| B9998 |
Enteral supp not otherwise c |
51 |
40 |
$0.00 |