| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
11,310 |
9,745 |
$320K |
| E0466 |
Home vent non-invasive inter |
408 |
317 |
$113K |
| B4035 |
Enteral feed supp pump per d |
730 |
571 |
$74K |
| E0445 |
Oximeter non-invasive |
581 |
513 |
$53K |
| E0465 |
Home vent invasive interface |
146 |
110 |
$45K |
| E1392 |
Portable oxygen concentrator |
4,644 |
4,162 |
$45K |
| K0738 |
Portable gas oxygen system |
4,336 |
3,872 |
$43K |
| E0601 |
Cont airway pressure device |
1,928 |
1,495 |
$41K |
| A7030 |
Cpap full face mask |
1,058 |
726 |
$27K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,459 |
1,097 |
$25K |
| K0003 |
Lightweight wheelchair |
1,450 |
1,083 |
$23K |
| A4629 |
Tracheostomy care kit |
435 |
333 |
$20K |
| E0562 |
Humidifier heated used w pap |
1,006 |
659 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
905 |
778 |
$16K |
| E0570 |
Nebulizer with compression |
1,451 |
1,241 |
$15K |
| B4152 |
Ef calorie dense>/=1.5kcal |
379 |
263 |
$15K |
| A4604 |
Tubing with heating element |
1,223 |
893 |
$13K |
| E0163 |
Commode chair with fixed arm |
639 |
526 |
$12K |
| B4150 |
Ef complet w/intact nutrient |
284 |
199 |
$11K |
| A7526 |
Tracheostomy tube collar |
367 |
287 |
$10K |
| A7031 |
Replacement facemask interfa |
957 |
669 |
$10K |
| B9002 |
Enter nutr inf pump any type |
199 |
176 |
$9K |
| K0195 |
Elevating whlchair leg rests |
1,812 |
1,429 |
$8K |
| B4034 |
Enter feed supkit syr by day |
392 |
287 |
$8K |
| A7035 |
Pos airway press headgear |
1,064 |
747 |
$7K |
| A7000 |
Disposable canister for pump |
663 |
516 |
$6K |
| K0001 |
Standard wheelchair |
821 |
631 |
$6K |
| A4623 |
Tracheostomy inner cannula |
88 |
63 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
32 |
24 |
$3K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
225 |
154 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
140 |
88 |
$2K |
| E0600 |
Suction pump portab hom modl |
119 |
114 |
$2K |
| A7038 |
Pos airway pressure filter |
1,738 |
1,197 |
$2K |
| A7002 |
Tubing used w suction pump |
540 |
416 |
$2K |
| A4628 |
Oropharyngeal suction cath |
403 |
331 |
$2K |
| A7046 |
Repl water chamber, pap dev |
423 |
294 |
$1K |
| A7003 |
Nebulizer administration set |
738 |
632 |
$1K |
| A7034 |
Nasal application device |
48 |
32 |
$517.65 |
| E0156 |
Walker seat attachment |
94 |
78 |
$354.36 |
| E2601 |
Gen w/c cushion wdth < 22 in |
24 |
13 |
$229.46 |
| A7015 |
Aerosol mask used w nebulize |
152 |
130 |
$94.09 |
| E1399 |
Durable medical equipment mi |
62 |
36 |
$64.00 |
| A7013 |
Disposable compressor filter |
198 |
167 |
$41.33 |
| A7525 |
Tracheostomy mask |
13 |
12 |
$15.08 |