| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,677 |
6,038 |
$411K |
| A7030 |
Cpap full face mask |
4,976 |
4,213 |
$376K |
| E0601 |
Cont airway pressure device |
6,873 |
5,774 |
$256K |
| E0431 |
Portable gaseous 02 |
4,100 |
3,391 |
$197K |
| E0603 |
Electric breast pump |
1,306 |
1,113 |
$168K |
| E0562 |
Humidifier heated used w pap |
6,805 |
5,615 |
$130K |
| A7031 |
Replacement facemask interfa |
4,430 |
3,629 |
$117K |
| A7035 |
Pos airway press headgear |
5,301 |
4,595 |
$101K |
| A7034 |
Nasal application device |
1,923 |
1,662 |
$99K |
| A7037 |
Pos airway pressure tubing |
3,677 |
3,355 |
$89K |
| B4088 |
Gastro/jejuno tube, low-pro |
580 |
388 |
$38K |
| A4351 |
Straight tip urine catheter |
317 |
253 |
$31K |
| A7038 |
Pos airway pressure filter |
7,207 |
6,011 |
$29K |
| E0570 |
Nebulizer with compression |
2,393 |
2,066 |
$26K |
| A7046 |
Repl water chamber, pap dev |
3,941 |
3,424 |
$24K |
| B4035 |
Enteral feed supp pump per d |
200 |
157 |
$17K |
| E0118 |
Crutch substitute |
623 |
541 |
$17K |
| A4604 |
Tubing with heating element |
2,795 |
2,261 |
$16K |
| E0470 |
Rad w/o backup non-inv intfc |
276 |
227 |
$14K |
| K0738 |
Portable gas oxygen system |
2,061 |
1,707 |
$13K |
| A4606 |
Oxygen probe used w oximeter |
229 |
140 |
$12K |
| K0001 |
Standard wheelchair |
675 |
606 |
$8K |
| E0143 |
Walker folding wheeled w/o s |
277 |
253 |
$7K |
| A7032 |
Replacement nasal cushion |
475 |
396 |
$7K |
| E0445 |
Oximeter non-invasive |
39 |
30 |
$5K |
| B4150 |
Ef complet w/intact nutrient |
66 |
54 |
$5K |
| A4409 |
Ost skn barr convex <=4 sq i |
91 |
77 |
$5K |
| A7000 |
Disposable canister for pump |
577 |
477 |
$4K |
| A7005 |
Nondisposable nebulizer set |
240 |
221 |
$3K |
| A4385 |
Ost skn barrier sld ext wear |
87 |
77 |
$3K |
| A7033 |
Replacement nasal pillows |
123 |
102 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
323 |
276 |
$2K |
| A4927 |
Non-sterile gloves |
201 |
155 |
$2K |
| A5120 |
Skin barrier, wipe or swab |
606 |
507 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
27 |
25 |
$2K |
| A4357 |
Bedside drainage bag |
192 |
157 |
$2K |
| A5063 |
Drain ostomy pouch w/flange |
101 |
90 |
$2K |
| A4624 |
Tracheal suction tube |
12 |
12 |
$2K |
| L4361 |
Pneuma/vac walk boot pre ots |
14 |
13 |
$2K |
| E0114 |
Crutch underarm pair no wood |
51 |
43 |
$2K |
| A7002 |
Tubing used w suction pump |
288 |
253 |
$1K |
| A7526 |
Tracheostomy tube collar |
12 |
12 |
$929.59 |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
13 |
12 |
$716.90 |
| B9002 |
Enter nutr inf pump any type |
13 |
12 |
$614.95 |
| A4628 |
Oropharyngeal suction cath |
84 |
82 |
$523.22 |
| E0260 |
Hosp bed semi-electr w/ matt |
13 |
12 |
$316.66 |
| A4450 |
Non-waterproof tape |
25 |
25 |
$282.30 |
| A4456 |
Adhesive remover, wipes |
24 |
14 |
$90.40 |
| A7003 |
Nebulizer administration set |
43 |
40 |
$84.21 |
| A7015 |
Aerosol mask used w nebulize |
74 |
71 |
$57.91 |
| A4402 |
Lubricant per ounce |
27 |
25 |
$35.92 |