| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
8,977 |
5,499 |
$1.65M |
| E1390 |
Oxygen concentrator |
40,410 |
26,541 |
$868K |
| E0465 |
Home vent invasive interface |
920 |
661 |
$375K |
| E0601 |
Cont airway pressure device |
14,460 |
11,130 |
$322K |
| E0439 |
Stationary liquid 02 |
2,592 |
1,811 |
$141K |
| A7030 |
Cpap full face mask |
5,376 |
3,262 |
$131K |
| A7034 |
Nasal application device |
7,379 |
4,334 |
$130K |
| K0738 |
Portable gas oxygen system |
11,464 |
7,641 |
$99K |
| A7526 |
Tracheostomy tube collar |
2,032 |
1,248 |
$97K |
| E0562 |
Humidifier heated used w pap |
5,262 |
4,253 |
$79K |
| A4624 |
Tracheal suction tube |
1,375 |
856 |
$62K |
| A7031 |
Replacement facemask interfa |
4,949 |
2,981 |
$60K |
| A7032 |
Replacement nasal cushion |
3,593 |
2,156 |
$57K |
| E1392 |
Portable oxygen concentrator |
9,127 |
6,001 |
$55K |
| A4604 |
Tubing with heating element |
4,048 |
2,597 |
$54K |
| A7035 |
Pos airway press headgear |
8,298 |
4,976 |
$45K |
| E0470 |
Rad w/o backup non-inv intfc |
1,706 |
1,023 |
$43K |
| E0434 |
Portable liquid 02 |
3,813 |
2,570 |
$41K |
| E0431 |
Portable gaseous 02 |
5,510 |
3,946 |
$35K |
| A7046 |
Repl water chamber, pap dev |
6,237 |
3,687 |
$31K |
| A7037 |
Pos airway pressure tubing |
8,208 |
4,812 |
$31K |
| A7507 |
Integrated filter & holder |
679 |
382 |
$26K |
| A7033 |
Replacement nasal pillows |
2,604 |
1,386 |
$25K |
| A7038 |
Pos airway pressure filter |
12,500 |
7,544 |
$25K |
| A7000 |
Disposable canister for pump |
2,277 |
1,328 |
$21K |
| E0570 |
Nebulizer with compression |
3,474 |
2,570 |
$20K |
| E0600 |
Suction pump portab hom modl |
390 |
311 |
$12K |
| A7520 |
Trach/laryn tube non-cuffed |
538 |
288 |
$11K |
| A7005 |
Nondisposable nebulizer set |
585 |
378 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
214 |
127 |
$4K |
| A4629 |
Tracheostomy care kit |
138 |
97 |
$3K |
| A7003 |
Nebulizer administration set |
1,915 |
1,136 |
$3K |
| A4606 |
Oxygen probe used w oximeter |
77 |
24 |
$3K |
| E0445 |
Oximeter non-invasive |
18 |
12 |
$2K |
| E0424 |
Stationary compressed gas 02 |
35 |
24 |
$954.30 |
| A7525 |
Tracheostomy mask |
367 |
221 |
$476.77 |
| E0260 |
Hosp bed semi-electr w/ matt |
37 |
28 |
$315.39 |
| A7036 |
Pos airway press chinstrap |
161 |
85 |
$302.72 |
| A4628 |
Oropharyngeal suction cath |
17 |
12 |
$278.73 |
| A7039 |
Filter, non disposable w pap |
186 |
116 |
$244.04 |
| E1140 |
Wheelchair standard detach a |
14 |
12 |
$51.48 |
| E0444 |
Portable 02 contents, liquid |
143 |
129 |
$33.43 |
| A7013 |
Disposable compressor filter |
175 |
126 |
$28.88 |