| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
9,841 |
9,120 |
$3.55M |
| E1390 |
Oxygen concentrator |
42,890 |
39,719 |
$2.39M |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,162 |
1,776 |
$1.47M |
| B4035 |
Enteral feed supp pump per d |
8,793 |
7,047 |
$1.18M |
| E0465 |
Home vent invasive interface |
2,121 |
1,696 |
$771K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,874 |
3,820 |
$545K |
| E0601 |
Cont airway pressure device |
10,730 |
10,359 |
$495K |
| B4034 |
Enter feed supkit syr by day |
5,180 |
4,237 |
$478K |
| A7030 |
Cpap full face mask |
7,068 |
6,685 |
$449K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,015 |
1,625 |
$417K |
| B4150 |
Ef complet w/intact nutrient |
3,149 |
2,528 |
$329K |
| A7031 |
Replacement facemask interfa |
11,209 |
10,630 |
$246K |
| K0738 |
Portable gas oxygen system |
17,435 |
16,421 |
$228K |
| E0143 |
Walker folding wheeled w/o s |
5,586 |
5,368 |
$228K |
| A7032 |
Replacement nasal cushion |
6,552 |
6,272 |
$211K |
| B4154 |
Ef spec metabolic noninherit |
1,219 |
1,012 |
$210K |
| B4153 |
Ef hydrolyzed/amino acids |
545 |
398 |
$197K |
| E1392 |
Portable oxygen concentrator |
21,069 |
19,793 |
$195K |
| A4623 |
Tracheostomy inner cannula |
1,926 |
1,658 |
$183K |
| B9002 |
Enter nutr inf pump any type |
3,193 |
2,875 |
$181K |
| E0562 |
Humidifier heated used w pap |
3,172 |
3,072 |
$180K |
| A7034 |
Nasal application device |
6,171 |
5,900 |
$175K |
| E0260 |
Hosp bed semi-electr w/ matt |
5,317 |
4,884 |
$170K |
| K0001 |
Standard wheelchair |
8,349 |
7,875 |
$119K |
| A9276 |
Disposable sensor, cgm sys |
517 |
496 |
$114K |
| E0445 |
Oximeter non-invasive |
1,674 |
1,511 |
$113K |
| A7526 |
Tracheostomy tube collar |
2,411 |
2,095 |
$109K |
| A4624 |
Tracheal suction tube |
1,437 |
1,237 |
$99K |
| A4604 |
Tubing with heating element |
5,040 |
4,814 |
$97K |
| E0431 |
Portable gaseous 02 |
5,203 |
5,116 |
$91K |
| A4629 |
Tracheostomy care kit |
2,077 |
1,804 |
$90K |
| E0570 |
Nebulizer with compression |
7,459 |
6,436 |
$89K |
| A9278 |
External receiver, cgm sys |
251 |
235 |
$84K |
| A7035 |
Pos airway press headgear |
7,163 |
6,802 |
$73K |
| A4217 |
Sterile water/saline, 500 ml |
1,247 |
1,067 |
$70K |
| A7038 |
Pos airway pressure filter |
24,259 |
23,116 |
$70K |
| A7033 |
Replacement nasal pillows |
3,277 |
3,134 |
$61K |
| A7520 |
Trach/laryn tube non-cuffed |
1,395 |
1,236 |
$60K |
| A7000 |
Disposable canister for pump |
2,750 |
2,405 |
$59K |
| E0470 |
Rad w/o backup non-inv intfc |
1,037 |
971 |
$57K |
| B4088 |
Gastro/jejuno tube, low-pro |
3,523 |
3,206 |
$57K |
| E0600 |
Suction pump portab hom modl |
3,098 |
2,857 |
$55K |
| E0630 |
Patient lift hydraulic |
1,825 |
1,655 |
$54K |
| E0163 |
Commode chair with fixed arm |
1,932 |
1,821 |
$50K |
| E0277 |
Powered pres-redu air mattrs |
476 |
426 |
$50K |
| A7037 |
Pos airway pressure tubing |
6,898 |
6,541 |
$50K |
| E0619 |
Apnea monitor w recorder |
295 |
286 |
$48K |
| A7002 |
Tubing used w suction pump |
3,097 |
2,603 |
$40K |
| K0003 |
Lightweight wheelchair |
1,555 |
1,468 |
$40K |
| A4223 |
Infusion supplies w/o pump |
1,113 |
354 |
$37K |
| E0424 |
Stationary compressed gas 02 |
538 |
432 |
$36K |
| E0245 |
Tub stool or bench |
581 |
550 |
$33K |
| A4628 |
Oropharyngeal suction cath |
2,168 |
1,859 |
$32K |
| B4155 |
Ef incomplete/modular |
295 |
224 |
$29K |
| A4605 |
Trach suction cath close sys |
305 |
234 |
$29K |
| E0565 |
Compressor air power source |
1,635 |
1,530 |
$28K |
| A4606 |
Oxygen probe used w oximeter |
856 |
772 |
$27K |
| B4149 |
Ef blenderized foods |
140 |
101 |
$27K |
| K0195 |
Elevating whlchair leg rests |
3,531 |
3,283 |
$23K |
| A4216 |
Sterile water/saline, 10 ml |
1,795 |
1,597 |
$22K |
| E1399 |
Durable medical equipment mi |
225 |
140 |
$22K |
| A7046 |
Repl water chamber, pap dev |
4,393 |
4,156 |
$21K |
| A4927 |
Non-sterile gloves |
631 |
557 |
$21K |
| E0482 |
Cough stimulating device |
127 |
123 |
$21K |
| B4036 |
Enteral feed sup kit grav by |
171 |
135 |
$18K |
| A7521 |
Trach/laryn tube cuffed |
468 |
404 |
$14K |
| A4483 |
Moisture exchanger |
545 |
487 |
$14K |
| A7039 |
Filter, non disposable w pap |
3,779 |
3,568 |
$12K |
| E0776 |
Iv pole |
570 |
497 |
$11K |
| A6402 |
Sterile gauze <= 16 sq in |
2,219 |
1,960 |
$11K |
| E0261 |
Hosp bed semi-electr w/o mat |
466 |
437 |
$11K |
| A7509 |
Heat & moisture exchange sys |
294 |
265 |
$8K |
| B9998 |
Enteral supp not otherwise c |
627 |
456 |
$7K |
| K0006 |
Heavy duty wheelchair |
179 |
166 |
$6K |
| A7010 |
Disposable corrugated tubing |
667 |
598 |
$5K |
| A4618 |
Breathing circuits |
304 |
252 |
$5K |
| E1038 |
Transport chair pt wt<=300lb |
938 |
885 |
$5K |
| A7003 |
Nebulizer administration set |
2,766 |
2,526 |
$5K |
| 99601 |
|
141 |
40 |
$4K |
| A4322 |
Irrigation syringe |
482 |
434 |
$4K |
| A7007 |
Lg vol nebulizer disposable |
766 |
699 |
$3K |
| E0156 |
Walker seat attachment |
545 |
510 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
157 |
125 |
$3K |
| E2611 |
Gen use back cush wdth <22in |
44 |
42 |
$2K |
| E0990 |
Wheelchair elevating leg res |
334 |
314 |
$2K |
| A7525 |
Tracheostomy mask |
1,269 |
1,132 |
$2K |
| E0181 |
Press pad alternating w/ pum |
128 |
118 |
$1K |
| A7036 |
Pos airway press chinstrap |
179 |
171 |
$1K |
| E0978 |
W/c acc,saf belt pelv strap |
69 |
69 |
$1K |
| A7012 |
Nebulizer water collec devic |
239 |
200 |
$920.39 |
| E0149 |
Heavy duty wheeled walker |
16 |
14 |
$827.25 |
| A4670 |
Automatic bp monitor, dial |
62 |
48 |
$688.25 |
| E2601 |
Gen w/c cushion wdth < 22 in |
44 |
42 |
$616.70 |
| E0185 |
Gel pressure mattress pad |
27 |
25 |
$601.78 |
| E0165 |
Commode chair with detacharm |
12 |
12 |
$582.50 |
| E0240 |
Bath/shower chair |
16 |
15 |
$532.16 |
| E0973 |
W/ch access det adj armrest |
43 |
41 |
$504.72 |
| A7005 |
Nondisposable nebulizer set |
73 |
72 |
$432.75 |
| A4452 |
Waterproof tape |
36 |
35 |
$155.20 |
| E0100 |
Cane adjust/fixed with tip |
14 |
14 |
$117.60 |
| A4556 |
Electrodes, pair |
20 |
14 |
$106.93 |
| A7015 |
Aerosol mask used w nebulize |
129 |
124 |
$106.32 |
| A4450 |
Non-waterproof tape |
39 |
30 |
$44.00 |
| Q0513 |
Disp fee inhal drugs/30 days |
522 |
506 |
$23.10 |
| A9270 |
Non-covered item or service |
282 |
119 |
$15.00 |