| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
8,209 |
7,771 |
$1.08M |
| E1390 |
Oxygen concentrator |
14,986 |
11,963 |
$618K |
| A7030 |
Cpap full face mask |
4,850 |
4,444 |
$469K |
| E0562 |
Humidifier heated used w pap |
3,176 |
2,972 |
$431K |
| A7034 |
Nasal application device |
5,178 |
4,799 |
$296K |
| A4604 |
Tubing with heating element |
6,402 |
5,969 |
$251K |
| A7031 |
Replacement facemask interfa |
2,989 |
2,679 |
$180K |
| A7035 |
Pos airway press headgear |
7,752 |
7,145 |
$149K |
| A7032 |
Replacement nasal cushion |
1,902 |
1,720 |
$140K |
| A7038 |
Pos airway pressure filter |
9,433 |
8,698 |
$119K |
| E0431 |
Portable gaseous 02 |
8,139 |
6,937 |
$99K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,965 |
1,661 |
$96K |
| E0470 |
Rad w/o backup non-inv intfc |
478 |
443 |
$90K |
| A7037 |
Pos airway pressure tubing |
4,320 |
3,992 |
$76K |
| E0604 |
Hosp grade elec breast pump |
1,778 |
1,724 |
$75K |
| A7033 |
Replacement nasal pillows |
1,135 |
1,028 |
$74K |
| K0001 |
Standard wheelchair |
1,925 |
1,846 |
$62K |
| E1392 |
Portable oxygen concentrator |
2,313 |
2,065 |
$57K |
| E2402 |
Neg press wound therapy pump |
51 |
42 |
$57K |
| E0445 |
Oximeter non-invasive |
316 |
281 |
$54K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
215 |
187 |
$52K |
| A7046 |
Repl water chamber, pap dev |
4,199 |
3,897 |
$46K |
| E0143 |
Walker folding wheeled w/o s |
685 |
634 |
$45K |
| A9900 |
Supply/accessory/service |
914 |
899 |
$39K |
| B4035 |
Enteral feed supp pump per d |
225 |
178 |
$32K |
| A7036 |
Pos airway press chinstrap |
3,006 |
2,850 |
$29K |
| K0738 |
Portable gas oxygen system |
1,129 |
921 |
$22K |
| E0600 |
Suction pump portab hom modl |
571 |
541 |
$20K |
| B9002 |
Enter nutr inf pump any type |
550 |
512 |
$19K |
| E0630 |
Patient lift hydraulic |
202 |
176 |
$9K |
| B9998 |
Enteral supp not otherwise c |
73 |
62 |
$9K |
| B4161 |
Ef ped hydrolyzed/amino acid |
14 |
12 |
$4K |
| E0570 |
Nebulizer with compression |
370 |
355 |
$3K |
| E0466 |
Home vent non-invasive inter |
212 |
196 |
$3K |
| E0156 |
Walker seat attachment |
13 |
12 |
$77.82 |
| A7039 |
Filter, non disposable w pap |
13 |
12 |
$57.89 |