| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
59,850 |
55,042 |
$2.97M |
| E0466 |
Home vent non-invasive inter |
1,084 |
979 |
$676K |
| E0431 |
Portable gaseous 02 |
43,257 |
40,046 |
$523K |
| E0424 |
Stationary compressed gas 02 |
3,552 |
3,451 |
$266K |
| E0601 |
Cont airway pressure device |
4,868 |
4,409 |
$186K |
| A7030 |
Cpap full face mask |
2,396 |
2,128 |
$118K |
| E0562 |
Humidifier heated used w pap |
979 |
861 |
$100K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
188 |
167 |
$60K |
| A7034 |
Nasal application device |
1,646 |
1,456 |
$57K |
| E0439 |
Stationary liquid 02 |
1,332 |
1,177 |
$48K |
| B4035 |
Enteral feed supp pump per d |
288 |
218 |
$42K |
| A7037 |
Pos airway pressure tubing |
3,553 |
3,208 |
$40K |
| E0434 |
Portable liquid 02 |
2,495 |
2,265 |
$34K |
| E0600 |
Suction pump portab hom modl |
769 |
745 |
$33K |
| A7031 |
Replacement facemask interfa |
1,635 |
1,401 |
$32K |
| A7035 |
Pos airway press headgear |
2,541 |
2,222 |
$28K |
| A7032 |
Replacement nasal cushion |
1,396 |
1,262 |
$25K |
| K0001 |
Standard wheelchair |
1,590 |
1,383 |
$23K |
| E0143 |
Walker folding wheeled w/o s |
705 |
615 |
$22K |
| E1392 |
Portable oxygen concentrator |
2,518 |
2,185 |
$22K |
| A7038 |
Pos airway pressure filter |
5,748 |
5,048 |
$17K |
| K0738 |
Portable gas oxygen system |
1,661 |
1,406 |
$16K |
| E0445 |
Oximeter non-invasive |
59 |
54 |
$12K |
| A4604 |
Tubing with heating element |
614 |
496 |
$7K |
| A7046 |
Repl water chamber, pap dev |
1,076 |
915 |
$7K |
| E0470 |
Rad w/o backup non-inv intfc |
168 |
132 |
$5K |
| E0570 |
Nebulizer with compression |
354 |
327 |
$4K |
| A7033 |
Replacement nasal pillows |
234 |
182 |
$3K |
| A4606 |
Oxygen probe used w oximeter |
64 |
27 |
$3K |
| A7039 |
Filter, non disposable w pap |
843 |
753 |
$3K |
| E0471 |
Rad w/backup non inv intrfc |
12 |
12 |
$2K |
| K0195 |
Elevating whlchair leg rests |
666 |
578 |
$2K |
| E0550 |
Humidif extens supple w ippb |
194 |
187 |
$1K |
| A4616 |
Tubing (oxygen) per foot |
386 |
358 |
$803.79 |
| E0156 |
Walker seat attachment |
68 |
67 |
$706.52 |
| E0441 |
Stationary o2 contents, gas |
43 |
30 |
$595.79 |
| A7005 |
Nondisposable nebulizer set |
40 |
40 |
$119.72 |
| E0443 |
Portable 02 contents, gas |
12 |
12 |
$105.58 |
| A7002 |
Tubing used w suction pump |
14 |
13 |
$95.24 |
| A7000 |
Disposable canister for pump |
59 |
49 |
$59.89 |
| A4615 |
Cannula nasal |
925 |
816 |
$51.18 |
| A9900 |
Supply/accessory/service |
512 |
394 |
$18.70 |
| A7015 |
Aerosol mask used w nebulize |
23 |
23 |
$0.00 |