| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,121 |
18,347 |
$1.92M |
| E0601 |
Cont airway pressure device |
35,072 |
32,850 |
$1.73M |
| A7030 |
Cpap full face mask |
11,456 |
10,218 |
$984K |
| B4035 |
Enteral feed supp pump per d |
2,971 |
2,542 |
$763K |
| E0562 |
Humidifier heated used w pap |
22,777 |
21,525 |
$671K |
| A7034 |
Nasal application device |
9,620 |
8,496 |
$527K |
| E0465 |
Home vent invasive interface |
705 |
477 |
$427K |
| A7035 |
Pos airway press headgear |
15,078 |
13,372 |
$311K |
| A7031 |
Replacement facemask interfa |
9,679 |
8,473 |
$304K |
| A4604 |
Tubing with heating element |
9,640 |
8,517 |
$266K |
| E0470 |
Rad w/o backup non-inv intfc |
2,820 |
2,426 |
$265K |
| B4149 |
Ef blenderized foods |
720 |
583 |
$259K |
| E0651 |
Pneum compressor segmental |
853 |
710 |
$237K |
| E0431 |
Portable gaseous 02 |
8,676 |
7,950 |
$235K |
| A7032 |
Replacement nasal cushion |
5,357 |
4,619 |
$206K |
| A7037 |
Pos airway pressure tubing |
10,925 |
9,581 |
$202K |
| A7046 |
Repl water chamber, pap dev |
13,244 |
11,498 |
$143K |
| A4222 |
Infusion supplies with pump |
802 |
344 |
$133K |
| A7038 |
Pos airway pressure filter |
23,788 |
21,090 |
$129K |
| A7033 |
Replacement nasal pillows |
4,755 |
4,110 |
$124K |
| A7526 |
Tracheostomy tube collar |
1,600 |
1,391 |
$80K |
| E0445 |
Oximeter non-invasive |
1,060 |
1,010 |
$70K |
| A4624 |
Tracheal suction tube |
392 |
327 |
$64K |
| E1392 |
Portable oxygen concentrator |
2,841 |
2,640 |
$58K |
| A7507 |
Integrated filter & holder |
500 |
454 |
$54K |
| B4161 |
Ef ped hydrolyzed/amino acid |
113 |
103 |
$52K |
| A7039 |
Filter, non disposable w pap |
5,912 |
5,140 |
$42K |
| A7521 |
Trach/laryn tube cuffed |
565 |
489 |
$27K |
| E0570 |
Nebulizer with compression |
355 |
325 |
$24K |
| A4221 |
Supp non-insulin inf cath/wk |
995 |
465 |
$23K |
| A7000 |
Disposable canister for pump |
1,983 |
1,713 |
$22K |
| B9998 |
Enteral supp not otherwise c |
1,308 |
1,119 |
$21K |
| E0667 |
Seg pneumatic appl full leg |
74 |
29 |
$18K |
| A7002 |
Tubing used w suction pump |
2,007 |
1,762 |
$10K |
| E0600 |
Suction pump portab hom modl |
280 |
261 |
$9K |
| A7036 |
Pos airway press chinstrap |
768 |
708 |
$8K |
| A4605 |
Trach suction cath close sys |
48 |
40 |
$7K |
| B4088 |
Gastro/jejuno tube, low-pro |
59 |
52 |
$7K |
| A7003 |
Nebulizer administration set |
1,550 |
1,387 |
$5K |
| K0738 |
Portable gas oxygen system |
155 |
151 |
$4K |
| A7520 |
Trach/laryn tube non-cuffed |
75 |
75 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
418 |
331 |
$3K |
| E0471 |
Rad w/backup non inv intrfc |
13 |
12 |
$2K |
| B9002 |
Enter nutr inf pump any type |
15 |
12 |
$1K |
| A4628 |
Oropharyngeal suction cath |
465 |
403 |
$1K |
| E0260 |
Hosp bed semi-electr w/ matt |
13 |
12 |
$891.60 |
| E0443 |
Portable 02 contents, gas |
12 |
12 |
$546.57 |
| A4649 |
Surgical supplies |
26 |
24 |
$546.18 |
| B4034 |
Enter feed supkit syr by day |
15 |
12 |
$426.75 |
| E0565 |
Compressor air power source |
12 |
12 |
$341.03 |
| A7015 |
Aerosol mask used w nebulize |
140 |
135 |
$240.56 |
| A4606 |
Oxygen probe used w oximeter |
46 |
24 |
$185.46 |