| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
353 |
337 |
$245K |
| E1399 |
Durable medical equipment mi |
374 |
347 |
$185K |
| E0466 |
Home vent non-invasive inter |
249 |
246 |
$161K |
| E1390 |
Oxygen concentrator |
508 |
507 |
$73K |
| S8189 |
Trach supply noc |
184 |
179 |
$43K |
| A4230 |
Infus insulin pump non needl |
137 |
135 |
$24K |
| A4624 |
Tracheal suction tube |
201 |
157 |
$21K |
| A7526 |
Tracheostomy tube collar |
232 |
226 |
$15K |
| E0482 |
Cough stimulating device |
56 |
56 |
$14K |
| E0601 |
Cont airway pressure device |
221 |
220 |
$14K |
| A4629 |
Tracheostomy care kit |
200 |
173 |
$14K |
| E0431 |
Portable gaseous 02 |
347 |
346 |
$13K |
| A7520 |
Trach/laryn tube non-cuffed |
203 |
189 |
$11K |
| A4649 |
Surgical supplies |
44 |
43 |
$11K |
| E0470 |
Rad w/o backup non-inv intfc |
67 |
67 |
$9K |
| A4232 |
Syringe w/needle insulin 3cc |
135 |
132 |
$6K |
| E0445 |
Oximeter non-invasive |
33 |
33 |
$6K |
| A4927 |
Non-sterile gloves |
289 |
267 |
$5K |
| E0562 |
Humidifier heated used w pap |
384 |
383 |
$5K |
| E0600 |
Suction pump portab hom modl |
92 |
89 |
$2K |
| K0001 |
Standard wheelchair |
52 |
52 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
28 |
28 |
$2K |
| A7037 |
Pos airway pressure tubing |
72 |
72 |
$2K |
| A7030 |
Cpap full face mask |
14 |
14 |
$2K |
| A7038 |
Pos airway pressure filter |
86 |
86 |
$1K |
| A7035 |
Pos airway press headgear |
45 |
45 |
$1K |
| E0570 |
Nebulizer with compression |
140 |
140 |
$1K |
| E0630 |
Patient lift hydraulic |
12 |
12 |
$798.88 |
| A7002 |
Tubing used w suction pump |
216 |
212 |
$590.96 |
| A7046 |
Repl water chamber, pap dev |
30 |
30 |
$274.89 |
| E0971 |
Wheelchair anti-tipping devi |
67 |
63 |
$200.64 |
| A4628 |
Oropharyngeal suction cath |
12 |
12 |
$91.60 |
| A7000 |
Disposable canister for pump |
13 |
13 |
$74.69 |
| A4402 |
Lubricant per ounce |
51 |
49 |
$63.35 |
| A4245 |
Alcohol wipes per box |
13 |
12 |
$24.44 |
| A7003 |
Nebulizer administration set |
14 |
14 |
$19.15 |