| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,226 |
1,033 |
$645K |
| E1390 |
Oxygen concentrator |
14,535 |
13,659 |
$572K |
| E0466 |
Home vent non-invasive inter |
990 |
889 |
$356K |
| B4035 |
Enteral feed supp pump per d |
3,859 |
2,531 |
$320K |
| A4624 |
Tracheal suction tube |
1,368 |
1,029 |
$278K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,507 |
1,452 |
$267K |
| A7030 |
Cpap full face mask |
1,766 |
1,678 |
$101K |
| A7031 |
Replacement facemask interfa |
3,087 |
2,934 |
$84K |
| E0601 |
Cont airway pressure device |
2,351 |
2,236 |
$78K |
| A4483 |
Moisture exchanger |
1,346 |
1,028 |
$76K |
| B9998 |
Enteral supp not otherwise c |
2,497 |
1,508 |
$68K |
| E0431 |
Portable gaseous 02 |
8,909 |
8,268 |
$63K |
| B4034 |
Enter feed supkit syr by day |
1,406 |
910 |
$61K |
| B4161 |
Ef ped hydrolyzed/amino acid |
239 |
89 |
$40K |
| A7037 |
Pos airway pressure tubing |
2,440 |
2,318 |
$25K |
| E0562 |
Humidifier heated used w pap |
1,723 |
1,646 |
$22K |
| A7000 |
Disposable canister for pump |
2,473 |
1,963 |
$22K |
| A7038 |
Pos airway pressure filter |
5,099 |
4,788 |
$18K |
| A4629 |
Tracheostomy care kit |
1,858 |
1,295 |
$18K |
| A7035 |
Pos airway press headgear |
1,391 |
1,295 |
$17K |
| A7032 |
Replacement nasal cushion |
605 |
562 |
$15K |
| A7002 |
Tubing used w suction pump |
2,901 |
1,960 |
$13K |
| A7034 |
Nasal application device |
375 |
351 |
$13K |
| E0570 |
Nebulizer with compression |
3,501 |
3,276 |
$12K |
| A7520 |
Trach/laryn tube non-cuffed |
335 |
253 |
$12K |
| E0445 |
Oximeter non-invasive |
114 |
113 |
$10K |
| E0443 |
Portable 02 contents, gas |
655 |
611 |
$10K |
| A4605 |
Trach suction cath close sys |
27 |
24 |
$7K |
| A7526 |
Tracheostomy tube collar |
652 |
583 |
$7K |
| E0600 |
Suction pump portab hom modl |
285 |
264 |
$6K |
| A7046 |
Repl water chamber, pap dev |
807 |
771 |
$6K |
| A4628 |
Oropharyngeal suction cath |
1,707 |
1,376 |
$4K |
| B4088 |
Gastro/jejuno tube, low-pro |
367 |
247 |
$4K |
| A7003 |
Nebulizer administration set |
3,003 |
2,624 |
$3K |
| A4618 |
Breathing circuits |
280 |
186 |
$3K |
| K0001 |
Standard wheelchair |
422 |
387 |
$3K |
| B9002 |
Enter nutr inf pump any type |
59 |
50 |
$3K |
| A7007 |
Lg vol nebulizer disposable |
470 |
391 |
$2K |
| E1392 |
Portable oxygen concentrator |
285 |
263 |
$2K |
| A7525 |
Tracheostomy mask |
968 |
573 |
$775.23 |
| E0776 |
Iv pole |
75 |
67 |
$732.02 |
| A4927 |
Non-sterile gloves |
156 |
135 |
$488.03 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$51.02 |