| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
46,970 |
35,743 |
$1.65M |
| E0466 |
Home vent non-invasive inter |
1,540 |
1,292 |
$577K |
| E0601 |
Cont airway pressure device |
8,925 |
7,081 |
$307K |
| A7030 |
Cpap full face mask |
5,247 |
4,005 |
$275K |
| A7031 |
Replacement facemask interfa |
7,963 |
6,386 |
$234K |
| E0445 |
Oximeter non-invasive |
1,618 |
1,392 |
$176K |
| E0143 |
Walker folding wheeled w/o s |
4,220 |
3,361 |
$150K |
| E0562 |
Humidifier heated used w pap |
11,294 |
9,079 |
$142K |
| E0431 |
Portable gaseous 02 |
18,803 |
14,452 |
$139K |
| E1150 |
Wheelchair standard w/ leg r |
2,295 |
1,926 |
$135K |
| A7034 |
Nasal application device |
3,820 |
2,939 |
$120K |
| A7032 |
Replacement nasal cushion |
3,402 |
2,833 |
$108K |
| K0738 |
Portable gas oxygen system |
6,493 |
4,922 |
$96K |
| A4624 |
Tracheal suction tube |
1,044 |
739 |
$92K |
| A4604 |
Tubing with heating element |
3,429 |
2,693 |
$89K |
| E0570 |
Nebulizer with compression |
11,087 |
8,501 |
$89K |
| E0470 |
Rad w/o backup non-inv intfc |
955 |
762 |
$80K |
| E0465 |
Home vent invasive interface |
104 |
75 |
$69K |
| E0600 |
Suction pump portab hom modl |
2,578 |
2,098 |
$67K |
| E1392 |
Portable oxygen concentrator |
6,943 |
5,370 |
$66K |
| A7526 |
Tracheostomy tube collar |
1,091 |
768 |
$65K |
| A7035 |
Pos airway press headgear |
5,491 |
4,267 |
$61K |
| A7033 |
Replacement nasal pillows |
2,256 |
1,775 |
$54K |
| A4629 |
Tracheostomy care kit |
701 |
516 |
$53K |
| A7038 |
Pos airway pressure filter |
14,797 |
11,913 |
$51K |
| A7037 |
Pos airway pressure tubing |
6,025 |
4,557 |
$47K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,022 |
1,456 |
$31K |
| A7046 |
Repl water chamber, pap dev |
4,969 |
3,617 |
$31K |
| A7000 |
Disposable canister for pump |
1,371 |
1,024 |
$27K |
| E0434 |
Portable liquid 02 |
2,169 |
1,715 |
$24K |
| E1130 |
Whlchr stand fxd arm ft rest |
775 |
644 |
$23K |
| A4483 |
Moisture exchanger |
582 |
324 |
$22K |
| A4623 |
Tracheostomy inner cannula |
153 |
99 |
$13K |
| E0149 |
Heavy duty wheeled walker |
694 |
545 |
$10K |
| A7520 |
Trach/laryn tube non-cuffed |
273 |
204 |
$9K |
| E0156 |
Walker seat attachment |
673 |
507 |
$6K |
| E1140 |
Wheelchair standard detach a |
95 |
87 |
$5K |
| A7002 |
Tubing used w suction pump |
602 |
452 |
$5K |
| A7005 |
Nondisposable nebulizer set |
517 |
418 |
$5K |
| E0163 |
Commode chair with fixed arm |
117 |
94 |
$5K |
| A6402 |
Sterile gauze <= 16 sq in |
476 |
341 |
$3K |
| E1226 |
Manual fully reclining back |
116 |
115 |
$3K |
| A7003 |
Nebulizer administration set |
3,121 |
2,323 |
$3K |
| A4606 |
Oxygen probe used w oximeter |
287 |
185 |
$2K |
| K0001 |
Standard wheelchair |
1,502 |
1,302 |
$2K |
| E0439 |
Stationary liquid 02 |
57 |
40 |
$1K |
| A7525 |
Tracheostomy mask |
1,106 |
576 |
$1K |
| A4628 |
Oropharyngeal suction cath |
118 |
100 |
$1K |
| E0630 |
Patient lift hydraulic |
30 |
25 |
$675.73 |
| A7015 |
Aerosol mask used w nebulize |
1,006 |
791 |
$659.63 |
| A4618 |
Breathing circuits |
63 |
24 |
$636.86 |
| A7039 |
Filter, non disposable w pap |
158 |
117 |
$499.92 |
| E0565 |
Compressor air power source |
14 |
12 |
$402.60 |
| K0195 |
Elevating whlchair leg rests |
427 |
364 |
$351.28 |
| E0443 |
Portable 02 contents, gas |
102 |
53 |
$290.09 |
| A7036 |
Pos airway press chinstrap |
30 |
27 |
$252.54 |
| A7013 |
Disposable compressor filter |
501 |
414 |
$180.73 |
| E0442 |
Stationary o2 contents, liq |
64 |
62 |
$45.40 |