| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,305 |
902 |
$617K |
| L4361 |
Pneuma/vac walk boot pre ots |
2,571 |
2,494 |
$334K |
| E1390 |
Oxygen concentrator |
5,122 |
4,851 |
$269K |
| L3660 |
So 8 ab rstr can/web pre ots |
5,303 |
5,179 |
$257K |
| E0466 |
Home vent non-invasive inter |
519 |
452 |
$203K |
| E0114 |
Crutch underarm pair no wood |
5,225 |
5,142 |
$150K |
| L3809 |
Whfo w/o joints pre ots |
1,559 |
1,517 |
$149K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
955 |
934 |
$132K |
| A4606 |
Oxygen probe used w oximeter |
1,186 |
906 |
$126K |
| A4624 |
Tracheal suction tube |
869 |
705 |
$95K |
| A7030 |
Cpap full face mask |
1,761 |
1,690 |
$91K |
| E0601 |
Cont airway pressure device |
3,235 |
3,074 |
$77K |
| E0445 |
Oximeter non-invasive |
829 |
781 |
$75K |
| L3908 |
Who cock-up nonmolde pre ots |
2,297 |
2,181 |
$74K |
| L1830 |
Ko immob canvas long pre ots |
1,836 |
1,771 |
$68K |
| L4350 |
Ankle control ortho pre ots |
1,230 |
1,213 |
$64K |
| A4604 |
Tubing with heating element |
2,788 |
2,689 |
$63K |
| A7031 |
Replacement facemask interfa |
2,705 |
2,137 |
$62K |
| A4217 |
Sterile water/saline, 500 ml |
740 |
626 |
$59K |
| E0562 |
Humidifier heated used w pap |
599 |
589 |
$55K |
| A7526 |
Tracheostomy tube collar |
925 |
739 |
$48K |
| A7034 |
Nasal application device |
1,245 |
1,205 |
$43K |
| E0431 |
Portable gaseous 02 |
3,259 |
3,151 |
$32K |
| E0482 |
Cough stimulating device |
116 |
116 |
$28K |
| A7520 |
Trach/laryn tube non-cuffed |
676 |
558 |
$24K |
| A4605 |
Trach suction cath close sys |
415 |
374 |
$21K |
| E0600 |
Suction pump portab hom modl |
977 |
904 |
$21K |
| A4629 |
Tracheostomy care kit |
319 |
311 |
$20K |
| A7035 |
Pos airway press headgear |
1,744 |
1,671 |
$19K |
| L3260 |
Ambulatory surgical boot eac |
1,955 |
1,887 |
$19K |
| A7038 |
Pos airway pressure filter |
5,186 |
4,018 |
$14K |
| A7507 |
Integrated filter & holder |
487 |
414 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,558 |
1,475 |
$13K |
| E0470 |
Rad w/o backup non-inv intfc |
185 |
178 |
$12K |
| A4628 |
Oropharyngeal suction cath |
1,042 |
935 |
$12K |
| E0570 |
Nebulizer with compression |
1,430 |
1,350 |
$9K |
| A7521 |
Trach/laryn tube cuffed |
280 |
256 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
902 |
791 |
$8K |
| K0001 |
Standard wheelchair |
1,598 |
1,447 |
$8K |
| A7033 |
Replacement nasal pillows |
636 |
470 |
$8K |
| A7032 |
Replacement nasal cushion |
487 |
390 |
$8K |
| A7000 |
Disposable canister for pump |
1,085 |
969 |
$6K |
| A7002 |
Tubing used w suction pump |
1,121 |
996 |
$5K |
| A6402 |
Sterile gauze <= 16 sq in |
911 |
826 |
$5K |
| A4216 |
Sterile water/saline, 10 ml |
692 |
659 |
$4K |
| E1392 |
Portable oxygen concentrator |
281 |
255 |
$4K |
| E0565 |
Compressor air power source |
119 |
114 |
$3K |
| A6260 |
Wound cleanser any type/size |
248 |
236 |
$2K |
| A7003 |
Nebulizer administration set |
802 |
727 |
$2K |
| A4402 |
Lubricant per ounce |
341 |
327 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
42 |
40 |
$1K |
| A4623 |
Tracheostomy inner cannula |
14 |
12 |
$933.46 |
| L4397 |
Static or dynami afo pre ots |
25 |
12 |
$835.58 |
| K0195 |
Elevating whlchair leg rests |
109 |
100 |
$766.06 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
12 |
12 |
$699.37 |
| A7525 |
Tracheostomy mask |
197 |
180 |
$473.43 |
| A7005 |
Nondisposable nebulizer set |
14 |
13 |
$168.37 |