| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
3,697 |
2,101 |
$1.86M |
| E0466 |
Home vent non-invasive inter |
4,027 |
2,565 |
$1.60M |
| E1390 |
Oxygen concentrator |
28,831 |
20,245 |
$1.38M |
| E0445 |
Oximeter non-invasive |
5,906 |
3,725 |
$514K |
| A4483 |
Moisture exchanger |
2,146 |
1,067 |
$249K |
| A4624 |
Tracheal suction tube |
2,383 |
1,291 |
$173K |
| K0738 |
Portable gas oxygen system |
6,700 |
4,270 |
$161K |
| A4623 |
Tracheostomy inner cannula |
2,025 |
1,054 |
$133K |
| A4629 |
Tracheostomy care kit |
2,804 |
1,394 |
$117K |
| E0431 |
Portable gaseous 02 |
16,856 |
12,372 |
$110K |
| A7526 |
Tracheostomy tube collar |
3,003 |
1,563 |
$91K |
| E0601 |
Cont airway pressure device |
3,357 |
2,525 |
$70K |
| A4217 |
Sterile water/saline, 500 ml |
3,386 |
1,356 |
$67K |
| E1399 |
Durable medical equipment mi |
865 |
359 |
$66K |
| E0570 |
Nebulizer with compression |
4,882 |
3,459 |
$63K |
| A7000 |
Disposable canister for pump |
4,042 |
2,215 |
$56K |
| K0001 |
Standard wheelchair |
6,403 |
4,512 |
$55K |
| A7030 |
Cpap full face mask |
1,526 |
1,146 |
$47K |
| L8501 |
Tracheostomy speaking valve |
1,230 |
647 |
$43K |
| E0600 |
Suction pump portab hom modl |
1,381 |
717 |
$38K |
| E0143 |
Walker folding wheeled w/o s |
1,385 |
1,121 |
$34K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,901 |
1,366 |
$32K |
| A7520 |
Trach/laryn tube non-cuffed |
930 |
527 |
$27K |
| E0163 |
Commode chair with fixed arm |
1,024 |
800 |
$21K |
| A7034 |
Nasal application device |
876 |
640 |
$18K |
| A4628 |
Oropharyngeal suction cath |
2,870 |
1,499 |
$15K |
| A7035 |
Pos airway press headgear |
1,860 |
1,368 |
$14K |
| A7031 |
Replacement facemask interfa |
1,193 |
880 |
$14K |
| E0562 |
Humidifier heated used w pap |
866 |
676 |
$13K |
| K0195 |
Elevating whlchair leg rests |
2,529 |
1,750 |
$11K |
| A7002 |
Tubing used w suction pump |
3,980 |
2,158 |
$10K |
| A7521 |
Trach/laryn tube cuffed |
396 |
246 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,173 |
849 |
$9K |
| A7038 |
Pos airway pressure filter |
3,243 |
2,435 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
114 |
86 |
$7K |
| A7005 |
Nondisposable nebulizer set |
718 |
429 |
$6K |
| E0619 |
Apnea monitor w recorder |
64 |
44 |
$5K |
| A4604 |
Tubing with heating element |
972 |
739 |
$5K |
| E1392 |
Portable oxygen concentrator |
692 |
517 |
$5K |
| A4627 |
Spacer bag/reservoir |
296 |
147 |
$3K |
| E0630 |
Patient lift hydraulic |
202 |
153 |
$3K |
| A6216 |
Non-sterile gauze<=16 sq in |
3,055 |
1,665 |
$3K |
| A5120 |
Skin barrier, wipe or swab |
1,006 |
464 |
$3K |
| A7007 |
Lg vol nebulizer disposable |
1,306 |
661 |
$3K |
| A4402 |
Lubricant per ounce |
1,235 |
628 |
$3K |
| A7003 |
Nebulizer administration set |
2,368 |
1,373 |
$2K |
| A7012 |
Nebulizer water collec devic |
1,249 |
623 |
$2K |
| A7525 |
Tracheostomy mask |
1,859 |
888 |
$2K |
| A7032 |
Replacement nasal cushion |
96 |
74 |
$1K |
| A7507 |
Integrated filter & holder |
40 |
27 |
$976.38 |
| A7046 |
Repl water chamber, pap dev |
525 |
393 |
$958.83 |
| A7015 |
Aerosol mask used w nebulize |
719 |
421 |
$606.33 |
| E0565 |
Compressor air power source |
34 |
25 |
$478.57 |
| E0156 |
Walker seat attachment |
115 |
91 |
$466.90 |
| A4216 |
Sterile water/saline, 10 ml |
244 |
194 |
$324.44 |
| A7013 |
Disposable compressor filter |
583 |
313 |
$160.44 |
| A9279 |
Monitoring feature/devicenoc |
233 |
161 |
$64.31 |
| W4047 |
|
279 |
102 |
$0.00 |