| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
698 |
528 |
$114K |
| E1390 |
Oxygen concentrator |
3,256 |
2,844 |
$90K |
| B4149 |
Ef blenderized foods |
370 |
319 |
$69K |
| E0601 |
Cont airway pressure device |
2,317 |
1,641 |
$39K |
| E0431 |
Portable gaseous 02 |
1,071 |
934 |
$34K |
| B4152 |
Ef calorie dense>/=1.5kcal |
338 |
233 |
$33K |
| A7030 |
Cpap full face mask |
541 |
493 |
$31K |
| K0738 |
Portable gas oxygen system |
1,456 |
1,278 |
$28K |
| E0562 |
Humidifier heated used w pap |
356 |
288 |
$25K |
| B4034 |
Enter feed supkit syr by day |
403 |
344 |
$23K |
| E0570 |
Nebulizer with compression |
1,351 |
1,246 |
$22K |
| A7507 |
Integrated filter & holder |
328 |
254 |
$21K |
| K0823 |
Pwc gp 2 std cap chair |
285 |
263 |
$20K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
150 |
133 |
$17K |
| A7034 |
Nasal application device |
466 |
423 |
$15K |
| E0470 |
Rad w/o backup non-inv intfc |
465 |
334 |
$12K |
| A7035 |
Pos airway press headgear |
915 |
834 |
$12K |
| A7037 |
Pos airway pressure tubing |
463 |
437 |
$10K |
| A7520 |
Trach/laryn tube non-cuffed |
160 |
133 |
$9K |
| B9002 |
Enter nutr inf pump any type |
317 |
152 |
$8K |
| K0001 |
Standard wheelchair |
764 |
694 |
$7K |
| A7031 |
Replacement facemask interfa |
498 |
453 |
$7K |
| E0143 |
Walker folding wheeled w/o s |
364 |
321 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
319 |
269 |
$6K |
| E0114 |
Crutch underarm pair no wood |
120 |
117 |
$6K |
| B4088 |
Gastro/jejuno tube, low-pro |
123 |
107 |
$6K |
| A7526 |
Tracheostomy tube collar |
169 |
156 |
$6K |
| L4361 |
Pneuma/vac walk boot pre ots |
125 |
114 |
$5K |
| A4624 |
Tracheal suction tube |
44 |
37 |
$5K |
| A4604 |
Tubing with heating element |
786 |
713 |
$5K |
| A7046 |
Repl water chamber, pap dev |
472 |
437 |
$3K |
| E0776 |
Iv pole |
251 |
210 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
119 |
105 |
$3K |
| A7033 |
Replacement nasal pillows |
218 |
196 |
$2K |
| A7038 |
Pos airway pressure filter |
1,158 |
1,025 |
$2K |
| E0600 |
Suction pump portab hom modl |
16 |
12 |
$1K |
| A7032 |
Replacement nasal cushion |
133 |
107 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
60 |
54 |
$1K |
| A7000 |
Disposable canister for pump |
192 |
158 |
$1K |
| K0195 |
Elevating whlchair leg rests |
305 |
262 |
$852.05 |
| Z0020 |
|
306 |
267 |
$719.00 |
| E0971 |
Wheelchair anti-tipping devi |
202 |
122 |
$658.58 |
| B4100 |
Food thickener oral |
17 |
12 |
$644.30 |
| L3908 |
Who cock-up nonmolde pre ots |
32 |
28 |
$595.86 |
| A5500 |
Diab shoe for density insert |
13 |
12 |
$582.18 |
| K0006 |
Heavy duty wheelchair |
29 |
28 |
$401.32 |
| A7039 |
Filter, non disposable w pap |
100 |
91 |
$275.47 |
| A7002 |
Tubing used w suction pump |
257 |
169 |
$254.91 |
| A4628 |
Oropharyngeal suction cath |
193 |
144 |
$227.44 |
| A4649 |
Surgical supplies |
58 |
50 |
$204.24 |
| A4927 |
Non-sterile gloves |
34 |
27 |
$188.44 |
| E0149 |
Heavy duty wheeled walker |
29 |
28 |
$181.11 |
| E0156 |
Walker seat attachment |
32 |
29 |
$140.21 |
| A7003 |
Nebulizer administration set |
62 |
58 |
$93.37 |
| A7525 |
Tracheostomy mask |
17 |
12 |
$14.70 |
| A7015 |
Aerosol mask used w nebulize |
15 |
13 |
$0.95 |