| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
16,633 |
15,177 |
$1.09M |
| E1390 |
Oxygen concentrator |
19,065 |
16,773 |
$1.05M |
| A7030 |
Cpap full face mask |
8,404 |
7,884 |
$705K |
| E0562 |
Humidifier heated used w pap |
3,537 |
3,402 |
$561K |
| A4604 |
Tubing with heating element |
15,799 |
14,813 |
$537K |
| A7034 |
Nasal application device |
8,799 |
8,196 |
$473K |
| E0465 |
Home vent invasive interface |
806 |
490 |
$383K |
| A7035 |
Pos airway press headgear |
13,352 |
12,617 |
$292K |
| E0470 |
Rad w/o backup non-inv intfc |
2,147 |
1,973 |
$248K |
| A7031 |
Replacement facemask interfa |
8,901 |
7,745 |
$231K |
| A7038 |
Pos airway pressure filter |
33,231 |
28,585 |
$229K |
| A7032 |
Replacement nasal cushion |
5,370 |
4,645 |
$126K |
| E0471 |
Rad w/backup non inv intrfc |
611 |
532 |
$115K |
| E1392 |
Portable oxygen concentrator |
6,013 |
5,231 |
$105K |
| E0431 |
Portable gaseous 02 |
6,864 |
6,077 |
$72K |
| A7046 |
Repl water chamber, pap dev |
7,489 |
6,946 |
$71K |
| A7033 |
Replacement nasal pillows |
3,802 |
3,191 |
$68K |
| A4624 |
Tracheal suction tube |
338 |
284 |
$51K |
| E0570 |
Nebulizer with compression |
3,370 |
2,713 |
$41K |
| K0001 |
Standard wheelchair |
3,534 |
2,967 |
$41K |
| A7526 |
Tracheostomy tube collar |
647 |
470 |
$27K |
| E0294 |
Hosp bed semi-elect w/ mattr |
639 |
613 |
$26K |
| A4629 |
Tracheostomy care kit |
387 |
278 |
$22K |
| E0600 |
Suction pump portab hom modl |
727 |
658 |
$22K |
| A4606 |
Oxygen probe used w oximeter |
450 |
351 |
$22K |
| A7039 |
Filter, non disposable w pap |
2,696 |
2,503 |
$22K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,658 |
1,359 |
$19K |
| A7000 |
Disposable canister for pump |
878 |
718 |
$19K |
| E0630 |
Patient lift hydraulic |
887 |
739 |
$19K |
| A7002 |
Tubing used w suction pump |
1,004 |
654 |
$13K |
| A7037 |
Pos airway pressure tubing |
828 |
720 |
$13K |
| A4623 |
Tracheostomy inner cannula |
155 |
100 |
$12K |
| K0195 |
Elevating whlchair leg rests |
722 |
610 |
$8K |
| A4216 |
Sterile water/saline, 10 ml |
314 |
248 |
$7K |
| A7036 |
Pos airway press chinstrap |
673 |
639 |
$7K |
| A7509 |
Heat & moisture exchange sys |
252 |
162 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
147 |
135 |
$4K |
| A4628 |
Oropharyngeal suction cath |
472 |
336 |
$4K |
| K0738 |
Portable gas oxygen system |
154 |
143 |
$3K |
| E0973 |
W/ch access det adj armrest |
871 |
365 |
$3K |
| A7005 |
Nondisposable nebulizer set |
207 |
166 |
$3K |
| K0003 |
Lightweight wheelchair |
210 |
164 |
$2K |
| A7521 |
Trach/laryn tube cuffed |
29 |
27 |
$1K |
| E2601 |
Gen w/c cushion wdth < 22 in |
43 |
36 |
$929.98 |
| E0181 |
Press pad alternating w/ pum |
135 |
117 |
$746.46 |
| E0971 |
Wheelchair anti-tipping devi |
65 |
38 |
$699.91 |
| A7525 |
Tracheostomy mask |
227 |
171 |
$636.11 |
| E0156 |
Walker seat attachment |
38 |
37 |
$362.84 |
| K0052 |
Swingaway detach ftrest repl |
30 |
29 |
$121.80 |
| A7003 |
Nebulizer administration set |
32 |
25 |
$57.62 |
| A7004 |
Disposable nebulizer sml vol |
13 |
12 |
$35.39 |
| A7013 |
Disposable compressor filter |
99 |
68 |
$25.89 |