| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
47,594 |
30,377 |
$1.71M |
| E0466 |
Home vent non-invasive inter |
2,949 |
1,608 |
$635K |
| B4035 |
Enteral feed supp pump per d |
2,566 |
1,404 |
$358K |
| E0465 |
Home vent invasive interface |
549 |
328 |
$303K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,384 |
2,714 |
$268K |
| E0445 |
Oximeter non-invasive |
2,205 |
1,549 |
$261K |
| B4161 |
Ef ped hydrolyzed/amino acid |
590 |
523 |
$257K |
| B4158 |
Ef ped complete intact nut |
1,773 |
1,548 |
$242K |
| E0431 |
Portable gaseous 02 |
24,398 |
15,692 |
$158K |
| A7030 |
Cpap full face mask |
4,367 |
2,792 |
$156K |
| E0601 |
Cont airway pressure device |
6,656 |
4,122 |
$139K |
| A7031 |
Replacement facemask interfa |
5,653 |
3,556 |
$104K |
| E1392 |
Portable oxygen concentrator |
5,411 |
3,391 |
$49K |
| E0562 |
Humidifier heated used w pap |
7,432 |
4,645 |
$47K |
| A4217 |
Sterile water/saline, 500 ml |
561 |
419 |
$34K |
| A7034 |
Nasal application device |
1,632 |
1,054 |
$34K |
| A7037 |
Pos airway pressure tubing |
3,480 |
2,242 |
$32K |
| A7035 |
Pos airway press headgear |
3,772 |
2,510 |
$31K |
| A7038 |
Pos airway pressure filter |
10,019 |
6,822 |
$27K |
| E0570 |
Nebulizer with compression |
5,708 |
3,997 |
$24K |
| A7032 |
Replacement nasal cushion |
677 |
428 |
$17K |
| A4604 |
Tubing with heating element |
2,322 |
1,627 |
$16K |
| A4624 |
Tracheal suction tube |
80 |
52 |
$12K |
| A7520 |
Trach/laryn tube non-cuffed |
137 |
40 |
$5K |
| A4483 |
Moisture exchanger |
19 |
15 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
119 |
74 |
$5K |
| A7005 |
Nondisposable nebulizer set |
1,083 |
725 |
$4K |
| A7046 |
Repl water chamber, pap dev |
1,963 |
1,303 |
$3K |
| A7003 |
Nebulizer administration set |
3,825 |
2,655 |
$2K |
| A7033 |
Replacement nasal pillows |
74 |
63 |
$2K |
| A7526 |
Tracheostomy tube collar |
51 |
39 |
$1K |
| A7000 |
Disposable canister for pump |
132 |
98 |
$1K |
| A4628 |
Oropharyngeal suction cath |
70 |
42 |
$516.84 |
| A7039 |
Filter, non disposable w pap |
120 |
80 |
$464.69 |
| E0443 |
Portable 02 contents, gas |
417 |
333 |
$394.09 |
| A7002 |
Tubing used w suction pump |
77 |
55 |
$300.33 |
| A7525 |
Tracheostomy mask |
57 |
12 |
$68.34 |
| A7007 |
Lg vol nebulizer disposable |
27 |
13 |
$56.45 |
| A7015 |
Aerosol mask used w nebulize |
102 |
66 |
$56.41 |
| A7013 |
Disposable compressor filter |
92 |
68 |
$26.36 |