| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
4,004 |
2,994 |
$1.31M |
| E1390 |
Oxygen concentrator |
35,440 |
26,332 |
$1.29M |
| B4035 |
Enteral feed supp pump per d |
6,392 |
4,848 |
$571K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,975 |
1,603 |
$422K |
| A7030 |
Cpap full face mask |
5,870 |
4,598 |
$348K |
| E0601 |
Cont airway pressure device |
9,968 |
7,848 |
$321K |
| A7031 |
Replacement facemask interfa |
9,626 |
8,049 |
$310K |
| B4161 |
Ef ped hydrolyzed/amino acid |
527 |
415 |
$295K |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,054 |
3,574 |
$275K |
| E0431 |
Portable gaseous 02 |
17,256 |
13,087 |
$156K |
| B4034 |
Enter feed supkit syr by day |
4,154 |
2,918 |
$147K |
| B4154 |
Ef spec metabolic noninherit |
1,009 |
732 |
$145K |
| E1392 |
Portable oxygen concentrator |
9,914 |
7,540 |
$135K |
| B4150 |
Ef complet w/intact nutrient |
2,423 |
1,691 |
$127K |
| E0562 |
Humidifier heated used w pap |
9,975 |
7,940 |
$121K |
| B9002 |
Enter nutr inf pump any type |
2,411 |
1,974 |
$98K |
| A7034 |
Nasal application device |
2,342 |
1,814 |
$79K |
| A4604 |
Tubing with heating element |
2,515 |
2,075 |
$73K |
| A7032 |
Replacement nasal cushion |
2,218 |
1,824 |
$71K |
| E0570 |
Nebulizer with compression |
11,814 |
8,148 |
$69K |
| A7035 |
Pos airway press headgear |
5,061 |
3,899 |
$60K |
| A7038 |
Pos airway pressure filter |
14,963 |
12,303 |
$54K |
| A7037 |
Pos airway pressure tubing |
5,499 |
4,277 |
$54K |
| E0470 |
Rad w/o backup non-inv intfc |
391 |
316 |
$33K |
| A7033 |
Replacement nasal pillows |
1,249 |
1,061 |
$33K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,474 |
1,054 |
$29K |
| A7046 |
Repl water chamber, pap dev |
3,826 |
2,955 |
$26K |
| E1130 |
Whlchr stand fxd arm ft rest |
624 |
551 |
$19K |
| E0776 |
Iv pole |
3,150 |
2,377 |
$16K |
| E0600 |
Suction pump portab hom modl |
828 |
589 |
$15K |
| B4149 |
Ef blenderized foods |
43 |
36 |
$14K |
| E0143 |
Walker folding wheeled w/o s |
441 |
330 |
$11K |
| B4088 |
Gastro/jejuno tube, low-pro |
361 |
291 |
$5K |
| A7003 |
Nebulizer administration set |
4,909 |
3,837 |
$5K |
| A7005 |
Nondisposable nebulizer set |
431 |
368 |
$3K |
| B9998 |
Enteral supp not otherwise c |
157 |
127 |
$2K |
| E0156 |
Walker seat attachment |
223 |
174 |
$2K |
| A7000 |
Disposable canister for pump |
95 |
70 |
$1K |
| K0001 |
Standard wheelchair |
1,701 |
1,449 |
$1K |
| B4036 |
Enteral feed sup kit grav by |
18 |
14 |
$1K |
| A7526 |
Tracheostomy tube collar |
40 |
25 |
$1K |
| A7013 |
Disposable compressor filter |
1,217 |
970 |
$351.89 |
| A7015 |
Aerosol mask used w nebulize |
645 |
489 |
$327.60 |
| A4628 |
Oropharyngeal suction cath |
34 |
28 |
$272.13 |