| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
24,785 |
23,607 |
$886K |
| E0431 |
Portable gaseous 02 |
20,563 |
19,788 |
$151K |
| A7030 |
Cpap full face mask |
2,661 |
2,533 |
$120K |
| B4035 |
Enteral feed supp pump per d |
516 |
414 |
$96K |
| E0570 |
Nebulizer with compression |
2,363 |
2,227 |
$95K |
| E0601 |
Cont airway pressure device |
5,946 |
5,748 |
$77K |
| A7526 |
Tracheostomy tube collar |
665 |
578 |
$52K |
| A7031 |
Replacement facemask interfa |
2,250 |
2,123 |
$48K |
| K0001 |
Standard wheelchair |
2,149 |
2,054 |
$44K |
| A7034 |
Nasal application device |
1,099 |
1,043 |
$38K |
| A7037 |
Pos airway pressure tubing |
3,161 |
3,042 |
$31K |
| E0619 |
Apnea monitor w recorder |
170 |
161 |
$28K |
| E0562 |
Humidifier heated used w pap |
1,483 |
1,424 |
$27K |
| A7032 |
Replacement nasal cushion |
1,282 |
1,197 |
$25K |
| A7035 |
Pos airway press headgear |
2,732 |
2,596 |
$24K |
| E0470 |
Rad w/o backup non-inv intfc |
668 |
639 |
$22K |
| A7005 |
Nondisposable nebulizer set |
1,725 |
1,643 |
$21K |
| A7038 |
Pos airway pressure filter |
7,075 |
6,718 |
$18K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
63 |
51 |
$17K |
| E0445 |
Oximeter non-invasive |
719 |
707 |
$12K |
| B9002 |
Enter nutr inf pump any type |
238 |
214 |
$9K |
| A7033 |
Replacement nasal pillows |
454 |
420 |
$8K |
| A7000 |
Disposable canister for pump |
683 |
588 |
$7K |
| A4604 |
Tubing with heating element |
479 |
462 |
$7K |
| A7002 |
Tubing used w suction pump |
1,167 |
789 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,255 |
1,176 |
$5K |
| A7046 |
Repl water chamber, pap dev |
1,301 |
1,188 |
$4K |
| E1392 |
Portable oxygen concentrator |
464 |
430 |
$3K |
| A4629 |
Tracheostomy care kit |
52 |
49 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
89 |
87 |
$2K |
| A4606 |
Oxygen probe used w oximeter |
609 |
475 |
$2K |
| E0776 |
Iv pole |
195 |
177 |
$2K |
| E0600 |
Suction pump portab hom modl |
15 |
13 |
$622.31 |
| A7520 |
Trach/laryn tube non-cuffed |
14 |
12 |
$553.87 |
| A7015 |
Aerosol mask used w nebulize |
549 |
506 |
$419.99 |
| A6402 |
Sterile gauze <= 16 sq in |
25 |
24 |
$309.13 |
| E0260 |
Hosp bed semi-electr w/ matt |
24 |
24 |
$173.55 |
| A7525 |
Tracheostomy mask |
55 |
49 |
$81.62 |
| A7012 |
Nebulizer water collec devic |
14 |
14 |
$73.57 |
| A7003 |
Nebulizer administration set |
31 |
29 |
$27.28 |
| A7013 |
Disposable compressor filter |
32 |
30 |
$5.94 |