| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
41,464 |
34,392 |
$1.38M |
| K0738 |
Portable gas oxygen system |
19,738 |
16,823 |
$563K |
| B4035 |
Enteral feed supp pump per d |
2,990 |
2,719 |
$495K |
| B4161 |
Ef ped hydrolyzed/amino acid |
679 |
654 |
$399K |
| E0466 |
Home vent non-invasive inter |
1,362 |
1,115 |
$367K |
| E0601 |
Cont airway pressure device |
17,957 |
15,387 |
$357K |
| A7030 |
Cpap full face mask |
7,011 |
5,982 |
$286K |
| E0431 |
Portable gaseous 02 |
8,181 |
7,152 |
$268K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,440 |
1,347 |
$256K |
| E0562 |
Humidifier heated used w pap |
11,762 |
9,830 |
$218K |
| A7031 |
Replacement facemask interfa |
7,938 |
6,791 |
$194K |
| A7034 |
Nasal application device |
7,121 |
5,986 |
$174K |
| A4604 |
Tubing with heating element |
11,309 |
9,549 |
$142K |
| A7032 |
Replacement nasal cushion |
5,030 |
4,332 |
$107K |
| E0470 |
Rad w/o backup non-inv intfc |
2,498 |
2,035 |
$101K |
| B9002 |
Enter nutr inf pump any type |
946 |
882 |
$92K |
| A7035 |
Pos airway press headgear |
9,230 |
7,919 |
$88K |
| A7038 |
Pos airway pressure filter |
21,837 |
19,281 |
$80K |
| A7033 |
Replacement nasal pillows |
4,456 |
3,911 |
$74K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,918 |
3,266 |
$66K |
| E0471 |
Rad w/backup non inv intrfc |
673 |
555 |
$65K |
| A7046 |
Repl water chamber, pap dev |
7,237 |
6,248 |
$39K |
| B4149 |
Ef blenderized foods |
114 |
109 |
$37K |
| B4150 |
Ef complet w/intact nutrient |
398 |
337 |
$35K |
| E0570 |
Nebulizer with compression |
8,576 |
7,051 |
$35K |
| E0143 |
Walker folding wheeled w/o s |
1,397 |
1,151 |
$33K |
| E0630 |
Patient lift hydraulic |
1,990 |
1,660 |
$33K |
| E0445 |
Oximeter non-invasive |
425 |
409 |
$32K |
| A7037 |
Pos airway pressure tubing |
2,145 |
1,897 |
$29K |
| B4158 |
Ef ped complete intact nut |
86 |
85 |
$24K |
| B4088 |
Gastro/jejuno tube, low-pro |
462 |
450 |
$24K |
| K0001 |
Standard wheelchair |
3,976 |
3,040 |
$24K |
| E0465 |
Home vent invasive interface |
70 |
36 |
$21K |
| E1392 |
Portable oxygen concentrator |
2,806 |
2,268 |
$17K |
| B9998 |
Enteral supp not otherwise c |
418 |
357 |
$16K |
| E0776 |
Iv pole |
947 |
928 |
$15K |
| K0003 |
Lightweight wheelchair |
2,296 |
1,758 |
$14K |
| E0600 |
Suction pump portab hom modl |
410 |
404 |
$12K |
| A7039 |
Filter, non disposable w pap |
2,030 |
1,751 |
$8K |
| B4034 |
Enter feed supkit syr by day |
98 |
91 |
$7K |
| B4152 |
Ef calorie dense>/=1.5kcal |
46 |
40 |
$5K |
| A7036 |
Pos airway press chinstrap |
995 |
826 |
$5K |
| A7526 |
Tracheostomy tube collar |
168 |
128 |
$5K |
| K0195 |
Elevating whlchair leg rests |
1,593 |
1,235 |
$5K |
| A7000 |
Disposable canister for pump |
1,143 |
659 |
$3K |
| A7005 |
Nondisposable nebulizer set |
1,001 |
797 |
$3K |
| A4606 |
Oxygen probe used w oximeter |
147 |
78 |
$3K |
| A7507 |
Integrated filter & holder |
32 |
25 |
$3K |
| A4624 |
Tracheal suction tube |
15 |
12 |
$2K |
| A7003 |
Nebulizer administration set |
1,241 |
1,058 |
$2K |
| A7002 |
Tubing used w suction pump |
1,030 |
577 |
$1K |
| E0181 |
Press pad alternating w/ pum |
80 |
74 |
$1K |
| E0149 |
Heavy duty wheeled walker |
236 |
209 |
$1K |
| T4522 |
Adult size brief/diaper med |
55 |
51 |
$786.24 |
| E0565 |
Compressor air power source |
68 |
48 |
$729.01 |
| E0971 |
Wheelchair anti-tipping devi |
1,169 |
908 |
$670.49 |
| E0165 |
Commode chair with detacharm |
44 |
39 |
$599.79 |
| A4628 |
Oropharyngeal suction cath |
184 |
145 |
$333.38 |
| A7013 |
Disposable compressor filter |
821 |
684 |
$212.84 |
| A7520 |
Trach/laryn tube non-cuffed |
35 |
24 |
$141.94 |
| E0951 |
Loop heel |
87 |
79 |
$28.02 |
| A7015 |
Aerosol mask used w nebulize |
16 |
14 |
$4.02 |