| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
19,401 |
16,542 |
$493K |
| E1390 |
Oxygen concentrator |
7,834 |
6,735 |
$336K |
| A7030 |
Cpap full face mask |
3,753 |
3,393 |
$210K |
| B4035 |
Enteral feed supp pump per d |
1,892 |
1,409 |
$192K |
| E0562 |
Humidifier heated used w pap |
4,627 |
3,854 |
$186K |
| A7034 |
Nasal application device |
4,962 |
4,493 |
$176K |
| E0619 |
Apnea monitor w recorder |
773 |
696 |
$146K |
| E0445 |
Oximeter non-invasive |
1,864 |
1,426 |
$105K |
| A4604 |
Tubing with heating element |
4,456 |
3,978 |
$102K |
| A7032 |
Replacement nasal cushion |
4,569 |
4,177 |
$95K |
| E0470 |
Rad w/o backup non-inv intfc |
1,865 |
1,497 |
$92K |
| A7035 |
Pos airway press headgear |
6,323 |
5,718 |
$74K |
| E0431 |
Portable gaseous 02 |
6,983 |
5,986 |
$68K |
| A7031 |
Replacement facemask interfa |
2,816 |
2,536 |
$65K |
| A4606 |
Oxygen probe used w oximeter |
1,662 |
1,267 |
$59K |
| B9998 |
Enteral supp not otherwise c |
1,972 |
1,178 |
$48K |
| A4624 |
Tracheal suction tube |
375 |
290 |
$43K |
| E0482 |
Cough stimulating device |
249 |
213 |
$38K |
| B4161 |
Ef ped hydrolyzed/amino acid |
183 |
120 |
$36K |
| A7038 |
Pos airway pressure filter |
12,975 |
11,705 |
$35K |
| A7037 |
Pos airway pressure tubing |
3,211 |
2,930 |
$30K |
| B9002 |
Enter nutr inf pump any type |
613 |
482 |
$25K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
175 |
125 |
$22K |
| E0466 |
Home vent non-invasive inter |
95 |
63 |
$22K |
| K0003 |
Lightweight wheelchair |
876 |
762 |
$21K |
| B4088 |
Gastro/jejuno tube, low-pro |
927 |
778 |
$21K |
| A7039 |
Filter, non disposable w pap |
5,050 |
4,596 |
$20K |
| E0600 |
Suction pump portab hom modl |
707 |
588 |
$18K |
| A7033 |
Replacement nasal pillows |
1,051 |
971 |
$18K |
| A7526 |
Tracheostomy tube collar |
390 |
290 |
$17K |
| A7000 |
Disposable canister for pump |
1,285 |
1,086 |
$16K |
| A4628 |
Oropharyngeal suction cath |
1,161 |
909 |
$14K |
| E0570 |
Nebulizer with compression |
511 |
461 |
$14K |
| A4927 |
Non-sterile gloves |
1,269 |
965 |
$10K |
| A7002 |
Tubing used w suction pump |
1,359 |
1,120 |
$8K |
| A7046 |
Repl water chamber, pap dev |
1,129 |
995 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
356 |
330 |
$7K |
| A4657 |
Syringe w/wo needle |
753 |
520 |
$6K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
72 |
62 |
$4K |
| K0195 |
Elevating whlchair leg rests |
529 |
454 |
$4K |
| E1392 |
Portable oxygen concentrator |
216 |
178 |
$3K |
| E0630 |
Patient lift hydraulic |
81 |
79 |
$2K |
| A7003 |
Nebulizer administration set |
1,158 |
930 |
$2K |
| E0776 |
Iv pole |
287 |
197 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
257 |
192 |
$1K |
| A4629 |
Tracheostomy care kit |
17 |
13 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
774 |
670 |
$1K |
| A7520 |
Trach/laryn tube non-cuffed |
22 |
15 |
$854.75 |
| A4209 |
5+ cc sterile syringe&needle |
226 |
172 |
$379.59 |
| E1399 |
Durable medical equipment mi |
39 |
27 |
$362.48 |
| A7036 |
Pos airway press chinstrap |
50 |
46 |
$357.49 |
| A7005 |
Nondisposable nebulizer set |
44 |
36 |
$300.67 |
| A4557 |
Lead wires, pair |
27 |
12 |
$265.13 |
| A7509 |
Heat & moisture exchange sys |
27 |
13 |
$219.38 |
| A4213 |
20+ cc syringe only |
30 |
26 |
$101.08 |
| A7525 |
Tracheostomy mask |
20 |
12 |
$38.19 |