| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
677 |
524 |
$301K |
| E1390 |
Oxygen concentrator |
2,055 |
1,848 |
$227K |
| E0601 |
Cont airway pressure device |
2,041 |
1,641 |
$169K |
| E0465 |
Home vent invasive interface |
267 |
161 |
$146K |
| E0570 |
Nebulizer with compression |
676 |
567 |
$52K |
| E0445 |
Oximeter non-invasive |
182 |
155 |
$42K |
| A7031 |
Replacement facemask interfa |
875 |
724 |
$39K |
| K0738 |
Portable gas oxygen system |
1,212 |
1,101 |
$37K |
| E0562 |
Humidifier heated used w pap |
389 |
292 |
$17K |
| A7035 |
Pos airway press headgear |
867 |
689 |
$17K |
| A4606 |
Oxygen probe used w oximeter |
274 |
217 |
$17K |
| A7038 |
Pos airway pressure filter |
1,849 |
1,526 |
$15K |
| K0001 |
Standard wheelchair |
481 |
394 |
$14K |
| A7030 |
Cpap full face mask |
158 |
127 |
$14K |
| A7526 |
Tracheostomy tube collar |
137 |
116 |
$8K |
| E0114 |
Crutch underarm pair no wood |
200 |
193 |
$7K |
| A7000 |
Disposable canister for pump |
425 |
368 |
$3K |
| A7002 |
Tubing used w suction pump |
559 |
397 |
$3K |
| A7005 |
Nondisposable nebulizer set |
102 |
88 |
$2K |
| E0600 |
Suction pump portab hom modl |
61 |
60 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
633 |
288 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
17 |
16 |
$2K |
| E0431 |
Portable gaseous 02 |
100 |
85 |
$2K |
| A4628 |
Oropharyngeal suction cath |
76 |
67 |
$2K |
| A7046 |
Repl water chamber, pap dev |
152 |
109 |
$1K |
| A4351 |
Straight tip urine catheter |
18 |
12 |
$923.74 |
| A6530 |
Compression stocking bk18-30 |
13 |
12 |
$607.40 |
| E0990 |
Wheelchair elevating leg res |
43 |
38 |
$386.45 |
| A7037 |
Pos airway pressure tubing |
82 |
76 |
$338.84 |
| A4604 |
Tubing with heating element |
110 |
77 |
$210.41 |
| A7020 |
Interface, cough stim device |
15 |
12 |
$162.39 |
| A7013 |
Disposable compressor filter |
100 |
86 |
$154.01 |
| A7015 |
Aerosol mask used w nebulize |
86 |
68 |
$125.83 |