| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,079 |
769 |
$715K |
| E0466 |
Home vent non-invasive inter |
938 |
895 |
$491K |
| E1390 |
Oxygen concentrator |
7,103 |
6,864 |
$410K |
| A4554 |
Disposable underpads |
2,118 |
1,977 |
$263K |
| A7030 |
Cpap full face mask |
4,385 |
4,282 |
$255K |
| E0601 |
Cont airway pressure device |
7,462 |
6,989 |
$227K |
| T4527 |
Adult size pull-on lg |
1,530 |
1,476 |
$199K |
| A4604 |
Tubing with heating element |
5,038 |
4,928 |
$195K |
| T4541 |
Large disposable underpad |
2,857 |
2,741 |
$174K |
| A7031 |
Replacement facemask interfa |
4,690 |
4,523 |
$116K |
| T4528 |
Adult size pull-on xl |
959 |
916 |
$115K |
| K0738 |
Portable gas oxygen system |
4,632 |
4,510 |
$112K |
| E0562 |
Humidifier heated used w pap |
5,554 |
5,217 |
$104K |
| A4520 |
Incontinence garment anytype |
1,281 |
1,149 |
$89K |
| A7034 |
Nasal application device |
1,995 |
1,963 |
$79K |
| A7032 |
Replacement nasal cushion |
2,235 |
2,171 |
$73K |
| T4526 |
Adult size pull-on med |
520 |
494 |
$60K |
| A4927 |
Non-sterile gloves |
4,111 |
3,495 |
$58K |
| A7035 |
Pos airway press headgear |
4,040 |
3,939 |
$52K |
| A7038 |
Pos airway pressure filter |
11,064 |
10,773 |
$42K |
| E0570 |
Nebulizer with compression |
1,803 |
1,705 |
$36K |
| A7033 |
Replacement nasal pillows |
799 |
783 |
$32K |
| A7046 |
Repl water chamber, pap dev |
2,719 |
2,660 |
$23K |
| A7526 |
Tracheostomy tube collar |
271 |
256 |
$21K |
| E0470 |
Rad w/o backup non-inv intfc |
186 |
175 |
$15K |
| B4150 |
Ef complet w/intact nutrient |
103 |
96 |
$13K |
| A7005 |
Nondisposable nebulizer set |
582 |
552 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
739 |
662 |
$12K |
| A7037 |
Pos airway pressure tubing |
1,415 |
1,383 |
$11K |
| A6402 |
Sterile gauze <= 16 sq in |
1,126 |
1,047 |
$10K |
| E0143 |
Walker folding wheeled w/o s |
341 |
330 |
$7K |
| E1028 |
W/c manual swingaway |
561 |
454 |
$6K |
| A4624 |
Tracheal suction tube |
26 |
26 |
$6K |
| A7000 |
Disposable canister for pump |
349 |
318 |
$5K |
| K0823 |
Pwc gp 2 std cap chair |
52 |
52 |
$4K |
| A4629 |
Tracheostomy care kit |
56 |
52 |
$4K |
| A4628 |
Oropharyngeal suction cath |
407 |
380 |
$4K |
| E0630 |
Patient lift hydraulic |
184 |
183 |
$3K |
| T4535 |
Disposable liner/shield/pad |
192 |
183 |
$3K |
| T4524 |
Adult size brief/diaper xl |
25 |
25 |
$3K |
| E0600 |
Suction pump portab hom modl |
95 |
90 |
$3K |
| T4523 |
Adult size brief/diaper lg |
26 |
24 |
$3K |
| A4357 |
Bedside drainage bag |
643 |
567 |
$3K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
13 |
13 |
$2K |
| K0001 |
Standard wheelchair |
198 |
187 |
$2K |
| E0156 |
Walker seat attachment |
194 |
187 |
$1K |
| K0002 |
Stnd hemi (low seat) whlchr |
135 |
111 |
$1K |
| A7003 |
Nebulizer administration set |
458 |
426 |
$1K |
| A7002 |
Tubing used w suction pump |
393 |
369 |
$1K |
| A4670 |
Automatic bp monitor, dial |
13 |
13 |
$643.26 |
| K0739 |
Repair/svc dme non-oxygen eq |
27 |
26 |
$553.83 |
| A7039 |
Filter, non disposable w pap |
14 |
14 |
$65.08 |
| A4358 |
Urinary leg or abdomen bag |
12 |
12 |
$49.74 |
| A7015 |
Aerosol mask used w nebulize |
88 |
84 |
$31.49 |
| A7004 |
Disposable nebulizer sml vol |
54 |
49 |
$3.39 |