| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
6,230 |
6,009 |
$2.11M |
| E1390 |
Oxygen concentrator |
16,881 |
16,278 |
$1.12M |
| E0603 |
Electric breast pump |
3,057 |
2,782 |
$554K |
| E0465 |
Home vent invasive interface |
499 |
382 |
$381K |
| A7030 |
Cpap full face mask |
4,523 |
4,422 |
$370K |
| E0601 |
Cont airway pressure device |
10,196 |
10,071 |
$354K |
| A7031 |
Replacement facemask interfa |
6,271 |
6,114 |
$201K |
| A4604 |
Tubing with heating element |
4,767 |
4,708 |
$165K |
| B4035 |
Enteral feed supp pump per d |
813 |
671 |
$128K |
| E0562 |
Humidifier heated used w pap |
1,821 |
1,797 |
$126K |
| A7034 |
Nasal application device |
2,916 |
2,851 |
$123K |
| K0738 |
Portable gas oxygen system |
6,237 |
6,054 |
$119K |
| A7032 |
Replacement nasal cushion |
2,385 |
2,297 |
$100K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,564 |
1,527 |
$89K |
| E1392 |
Portable oxygen concentrator |
5,422 |
5,264 |
$78K |
| A7035 |
Pos airway press headgear |
4,559 |
4,470 |
$77K |
| A7038 |
Pos airway pressure filter |
11,020 |
10,728 |
$76K |
| E0470 |
Rad w/o backup non-inv intfc |
658 |
648 |
$75K |
| A4623 |
Tracheostomy inner cannula |
580 |
528 |
$64K |
| A7033 |
Replacement nasal pillows |
1,317 |
1,283 |
$56K |
| E0143 |
Walker folding wheeled w/o s |
990 |
977 |
$52K |
| E0570 |
Nebulizer with compression |
2,186 |
2,122 |
$50K |
| E0445 |
Oximeter non-invasive |
994 |
963 |
$49K |
| B4152 |
Ef calorie dense>/=1.5kcal |
382 |
345 |
$45K |
| K0001 |
Standard wheelchair |
1,698 |
1,671 |
$45K |
| E0600 |
Suction pump portab hom modl |
1,888 |
1,782 |
$43K |
| A7037 |
Pos airway pressure tubing |
2,733 |
2,646 |
$40K |
| E0163 |
Commode chair with fixed arm |
549 |
540 |
$36K |
| E0565 |
Compressor air power source |
1,164 |
1,122 |
$36K |
| A4624 |
Tracheal suction tube |
331 |
298 |
$32K |
| A7046 |
Repl water chamber, pap dev |
2,893 |
2,839 |
$28K |
| K0003 |
Lightweight wheelchair |
600 |
576 |
$25K |
| B9002 |
Enter nutr inf pump any type |
506 |
491 |
$22K |
| A7526 |
Tracheostomy tube collar |
661 |
605 |
$22K |
| A4629 |
Tracheostomy care kit |
496 |
452 |
$21K |
| E0431 |
Portable gaseous 02 |
1,189 |
1,167 |
$18K |
| E2611 |
Gen use back cush wdth <22in |
82 |
81 |
$16K |
| K0195 |
Elevating whlchair leg rests |
1,220 |
1,196 |
$14K |
| A7039 |
Filter, non disposable w pap |
2,030 |
1,972 |
$13K |
| A7000 |
Disposable canister for pump |
731 |
644 |
$13K |
| B4034 |
Enter feed supkit syr by day |
135 |
116 |
$10K |
| E0971 |
Wheelchair anti-tipping devi |
187 |
147 |
$9K |
| A4628 |
Oropharyngeal suction cath |
465 |
367 |
$8K |
| E0185 |
Gel pressure mattress pad |
45 |
41 |
$7K |
| A7002 |
Tubing used w suction pump |
1,040 |
735 |
$7K |
| A7520 |
Trach/laryn tube non-cuffed |
173 |
157 |
$4K |
| E2601 |
Gen w/c cushion wdth < 22 in |
112 |
108 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
758 |
707 |
$4K |
| E0240 |
Bath/shower chair |
94 |
94 |
$3K |
| B4150 |
Ef complet w/intact nutrient |
41 |
36 |
$3K |
| E0973 |
W/ch access det adj armrest |
29 |
27 |
$2K |
| E0630 |
Patient lift hydraulic |
53 |
53 |
$2K |
| E0961 |
Wheelchair brake extension |
76 |
63 |
$2K |
| E0245 |
Tub stool or bench |
60 |
58 |
$2K |
| K0006 |
Heavy duty wheelchair |
26 |
26 |
$2K |
| A4605 |
Trach suction cath close sys |
14 |
12 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
215 |
191 |
$2K |
| A7036 |
Pos airway press chinstrap |
135 |
132 |
$1K |
| E0156 |
Walker seat attachment |
126 |
122 |
$1K |
| E0776 |
Iv pole |
66 |
65 |
$1K |
| A4217 |
Sterile water/saline, 500 ml |
74 |
69 |
$1K |
| A7003 |
Nebulizer administration set |
477 |
452 |
$934.17 |
| A7005 |
Nondisposable nebulizer set |
45 |
44 |
$764.80 |
| A7010 |
Disposable corrugated tubing |
41 |
40 |
$538.64 |
| A7007 |
Lg vol nebulizer disposable |
128 |
121 |
$503.24 |
| A4606 |
Oxygen probe used w oximeter |
13 |
12 |
$455.51 |
| E1038 |
Transport chair pt wt<=300lb |
26 |
26 |
$328.02 |
| A7525 |
Tracheostomy mask |
99 |
92 |
$107.02 |
| A7015 |
Aerosol mask used w nebulize |
17 |
15 |
$14.17 |