| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
86,456 |
65,323 |
$2.15M |
| E0466 |
Home vent non-invasive inter |
4,983 |
3,930 |
$788K |
| E0465 |
Home vent invasive interface |
1,295 |
782 |
$544K |
| E0601 |
Cont airway pressure device |
22,284 |
17,988 |
$437K |
| A7030 |
Cpap full face mask |
12,682 |
10,016 |
$404K |
| A7031 |
Replacement facemask interfa |
16,275 |
12,799 |
$228K |
| E0431 |
Portable gaseous 02 |
37,675 |
29,658 |
$192K |
| A4604 |
Tubing with heating element |
14,249 |
11,394 |
$190K |
| E0562 |
Humidifier heated used w pap |
6,066 |
4,937 |
$165K |
| A7034 |
Nasal application device |
8,222 |
6,511 |
$161K |
| B4035 |
Enteral feed supp pump per d |
1,136 |
750 |
$111K |
| A7032 |
Replacement nasal cushion |
7,281 |
5,694 |
$105K |
| E0470 |
Rad w/o backup non-inv intfc |
2,588 |
1,966 |
$103K |
| E1392 |
Portable oxygen concentrator |
16,513 |
12,613 |
$97K |
| A7035 |
Pos airway press headgear |
11,950 |
9,401 |
$82K |
| A7038 |
Pos airway pressure filter |
30,751 |
24,118 |
$58K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,098 |
2,635 |
$48K |
| A7033 |
Replacement nasal pillows |
4,368 |
3,433 |
$46K |
| E0570 |
Nebulizer with compression |
11,338 |
9,671 |
$45K |
| A7526 |
Tracheostomy tube collar |
1,141 |
683 |
$45K |
| K0738 |
Portable gas oxygen system |
3,694 |
2,865 |
$39K |
| E0445 |
Oximeter non-invasive |
765 |
662 |
$37K |
| E0471 |
Rad w/backup non inv intrfc |
367 |
299 |
$36K |
| A7046 |
Repl water chamber, pap dev |
8,609 |
6,765 |
$33K |
| A7037 |
Pos airway pressure tubing |
6,469 |
5,121 |
$33K |
| K0001 |
Standard wheelchair |
3,879 |
3,235 |
$31K |
| A4629 |
Tracheostomy care kit |
588 |
340 |
$28K |
| E0143 |
Walker folding wheeled w/o s |
1,443 |
1,140 |
$22K |
| B9002 |
Enter nutr inf pump any type |
735 |
587 |
$22K |
| A7000 |
Disposable canister for pump |
1,381 |
900 |
$10K |
| B4161 |
Ef ped hydrolyzed/amino acid |
16 |
12 |
$10K |
| K0195 |
Elevating whlchair leg rests |
1,674 |
1,260 |
$7K |
| A7005 |
Nondisposable nebulizer set |
1,311 |
1,144 |
$7K |
| E0600 |
Suction pump portab hom modl |
363 |
319 |
$6K |
| A7002 |
Tubing used w suction pump |
1,291 |
803 |
$5K |
| K0003 |
Lightweight wheelchair |
648 |
402 |
$5K |
| E0776 |
Iv pole |
591 |
495 |
$4K |
| A7039 |
Filter, non disposable w pap |
1,717 |
1,315 |
$4K |
| K0002 |
Stnd hemi (low seat) whlchr |
330 |
266 |
$4K |
| E0163 |
Commode chair with fixed arm |
260 |
217 |
$4K |
| A4606 |
Oxygen probe used w oximeter |
512 |
240 |
$4K |
| A4628 |
Oropharyngeal suction cath |
821 |
496 |
$3K |
| A7003 |
Nebulizer administration set |
1,782 |
1,221 |
$3K |
| B4152 |
Ef calorie dense>/=1.5kcal |
91 |
48 |
$3K |
| E0630 |
Patient lift hydraulic |
219 |
194 |
$2K |
| B4034 |
Enter feed supkit syr by day |
131 |
87 |
$2K |
| A4623 |
Tracheostomy inner cannula |
32 |
12 |
$2K |
| E0443 |
Portable 02 contents, gas |
241 |
219 |
$2K |
| A4624 |
Tracheal suction tube |
21 |
12 |
$1K |
| A7036 |
Pos airway press chinstrap |
491 |
396 |
$1K |
| A6402 |
Sterile gauze <= 16 sq in |
425 |
248 |
$1K |
| E0149 |
Heavy duty wheeled walker |
343 |
186 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
951 |
456 |
$669.06 |
| A7521 |
Trach/laryn tube cuffed |
52 |
24 |
$518.92 |
| E0156 |
Walker seat attachment |
274 |
158 |
$396.97 |
| A7507 |
Integrated filter & holder |
24 |
14 |
$94.63 |
| A4450 |
Non-waterproof tape |
44 |
28 |
$40.90 |
| A4615 |
Cannula nasal |
18 |
16 |
$3.15 |
| E0310 |
Rails bed side full length |
18 |
15 |
$2.37 |
| A4616 |
Tubing (oxygen) per foot |
57 |
46 |
$1.40 |