| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
46,108 |
35,330 |
$2.16M |
| E0601 |
Cont airway pressure device |
69,699 |
49,976 |
$1.66M |
| A4604 |
Tubing with heating element |
72,814 |
55,375 |
$1.50M |
| E1390 |
Oxygen concentrator |
47,152 |
35,431 |
$1.11M |
| A7031 |
Replacement facemask interfa |
46,137 |
35,436 |
$952K |
| A7034 |
Nasal application device |
32,725 |
24,741 |
$920K |
| E0466 |
Home vent non-invasive inter |
3,824 |
2,854 |
$846K |
| E0562 |
Humidifier heated used w pap |
45,280 |
34,043 |
$652K |
| A7035 |
Pos airway press headgear |
46,644 |
35,501 |
$466K |
| A7032 |
Replacement nasal cushion |
17,722 |
13,140 |
$382K |
| E0470 |
Rad w/o backup non-inv intfc |
6,217 |
4,648 |
$368K |
| K0738 |
Portable gas oxygen system |
25,412 |
19,001 |
$298K |
| A7033 |
Replacement nasal pillows |
15,125 |
11,232 |
$270K |
| E0570 |
Nebulizer with compression |
19,166 |
14,791 |
$249K |
| A7038 |
Pos airway pressure filter |
92,517 |
70,365 |
$233K |
| A7046 |
Repl water chamber, pap dev |
31,805 |
24,267 |
$203K |
| E0471 |
Rad w/backup non inv intrfc |
1,222 |
837 |
$160K |
| J7606 |
Formoterol fumarate, inh |
1,310 |
591 |
$83K |
| E1392 |
Portable oxygen concentrator |
6,975 |
4,946 |
$72K |
| J7626 |
Budesonide non-comp unit |
4,898 |
2,235 |
$58K |
| J7605 |
Arformoterol non-comp unit |
1,035 |
460 |
$57K |
| T4541 |
Large disposable underpad |
1,144 |
945 |
$56K |
| Q0513 |
Disp fee inhal drugs/30 days |
5,448 |
3,941 |
$32K |
| T4527 |
Adult size pull-on lg |
243 |
220 |
$31K |
| T4535 |
Disposable liner/shield/pad |
547 |
461 |
$30K |
| T4526 |
Adult size pull-on med |
243 |
208 |
$30K |
| A7037 |
Pos airway pressure tubing |
4,368 |
3,342 |
$28K |
| A7039 |
Filter, non disposable w pap |
6,856 |
5,296 |
$22K |
| E0114 |
Crutch underarm pair no wood |
603 |
580 |
$20K |
| E0143 |
Walker folding wheeled w/o s |
872 |
614 |
$15K |
| A4927 |
Non-sterile gloves |
925 |
686 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,008 |
630 |
$8K |
| E0431 |
Portable gaseous 02 |
1,422 |
1,002 |
$8K |
| A7036 |
Pos airway press chinstrap |
1,572 |
1,175 |
$8K |
| J7620 |
Albuterol ipratrop non-comp |
2,890 |
1,355 |
$5K |
| A7003 |
Nebulizer administration set |
5,842 |
4,364 |
$5K |
| K0001 |
Standard wheelchair |
1,412 |
895 |
$4K |
| T4523 |
Adult size brief/diaper lg |
47 |
24 |
$4K |
| J7613 |
Albuterol non-comp unit |
2,074 |
983 |
$3K |
| E0600 |
Suction pump portab hom modl |
308 |
218 |
$3K |
| K0195 |
Elevating whlchair leg rests |
587 |
368 |
$2K |
| E0261 |
Hosp bed semi-electr w/o mat |
29 |
27 |
$2K |
| T4522 |
Adult size brief/diaper med |
13 |
13 |
$2K |
| A7005 |
Nondisposable nebulizer set |
299 |
230 |
$1K |
| E0163 |
Commode chair with fixed arm |
27 |
25 |
$754.59 |
| E0630 |
Patient lift hydraulic |
45 |
25 |
$366.53 |
| A7015 |
Aerosol mask used w nebulize |
238 |
151 |
$112.69 |
| E0156 |
Walker seat attachment |
20 |
13 |
$112.56 |
| K0003 |
Lightweight wheelchair |
28 |
13 |
$46.61 |
| A7014 |
Compressor nondispos filter |
50 |
42 |
$42.04 |