| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,505 |
4,532 |
$251K |
| E0601 |
Cont airway pressure device |
3,342 |
2,963 |
$164K |
| E0466 |
Home vent non-invasive inter |
307 |
255 |
$156K |
| E0465 |
Home vent invasive interface |
172 |
103 |
$96K |
| E0562 |
Humidifier heated used w pap |
1,784 |
1,635 |
$70K |
| E0445 |
Oximeter non-invasive |
644 |
560 |
$66K |
| A7030 |
Cpap full face mask |
898 |
783 |
$61K |
| A7034 |
Nasal application device |
940 |
831 |
$42K |
| E0431 |
Portable gaseous 02 |
3,742 |
3,204 |
$41K |
| E0470 |
Rad w/o backup non-inv intfc |
504 |
431 |
$35K |
| E0600 |
Suction pump portab hom modl |
1,378 |
968 |
$32K |
| E0143 |
Walker folding wheeled w/o s |
856 |
795 |
$27K |
| A4606 |
Oxygen probe used w oximeter |
367 |
298 |
$25K |
| A4624 |
Tracheal suction tube |
146 |
128 |
$21K |
| E0603 |
Electric breast pump |
134 |
131 |
$20K |
| E0604 |
Hosp grade elec breast pump |
584 |
543 |
$20K |
| A7035 |
Pos airway press headgear |
1,462 |
1,285 |
$20K |
| A7526 |
Tracheostomy tube collar |
261 |
222 |
$20K |
| A4217 |
Sterile water/saline, 500 ml |
327 |
220 |
$20K |
| E0570 |
Nebulizer with compression |
782 |
727 |
$17K |
| A4604 |
Tubing with heating element |
596 |
534 |
$17K |
| A7031 |
Replacement facemask interfa |
667 |
568 |
$16K |
| K0001 |
Standard wheelchair |
765 |
726 |
$16K |
| E0260 |
Hosp bed semi-electr w/ matt |
579 |
484 |
$15K |
| A4629 |
Tracheostomy care kit |
130 |
111 |
$13K |
| A7032 |
Replacement nasal cushion |
483 |
413 |
$12K |
| A7037 |
Pos airway pressure tubing |
1,236 |
1,075 |
$11K |
| A7507 |
Integrated filter & holder |
108 |
90 |
$10K |
| A7000 |
Disposable canister for pump |
437 |
370 |
$7K |
| A7046 |
Repl water chamber, pap dev |
658 |
590 |
$6K |
| A7038 |
Pos airway pressure filter |
3,297 |
2,037 |
$5K |
| E1392 |
Portable oxygen concentrator |
218 |
181 |
$4K |
| B4035 |
Enteral feed supp pump per d |
31 |
26 |
$4K |
| A4628 |
Oropharyngeal suction cath |
376 |
324 |
$4K |
| A7002 |
Tubing used w suction pump |
364 |
315 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
360 |
266 |
$3K |
| B9998 |
Enteral supp not otherwise c |
36 |
31 |
$2K |
| A4927 |
Non-sterile gloves |
167 |
140 |
$2K |
| A4623 |
Tracheostomy inner cannula |
17 |
12 |
$2K |
| A7520 |
Trach/laryn tube non-cuffed |
32 |
26 |
$2K |
| A7033 |
Replacement nasal pillows |
87 |
75 |
$2K |
| B4034 |
Enter feed supkit syr by day |
58 |
48 |
$2K |
| A4452 |
Waterproof tape |
85 |
69 |
$1K |
| E1140 |
Wheelchair standard detach a |
41 |
39 |
$848.21 |
| A7003 |
Nebulizer administration set |
349 |
298 |
$731.00 |
| K0003 |
Lightweight wheelchair |
25 |
25 |
$685.34 |
| E0156 |
Walker seat attachment |
72 |
64 |
$584.99 |
| A9900 |
Supply/accessory/service |
37 |
24 |
$496.89 |
| A4618 |
Breathing circuits |
15 |
12 |
$245.88 |
| A4244 |
Alcohol or peroxide per pint |
66 |
62 |
$156.83 |
| A7005 |
Nondisposable nebulizer set |
14 |
13 |
$141.40 |
| A7013 |
Disposable compressor filter |
88 |
82 |
$55.68 |
| A6453 |
Self-adher band w <3"/yd |
38 |
29 |
$49.55 |
| A9999 |
Dme supply or accessory, nos |
25 |
12 |
$41.85 |
| A4332 |
Lube sterile packet |
43 |
41 |
$38.01 |
| A7525 |
Tracheostomy mask |
15 |
13 |
$25.37 |