| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
3,065 |
1,801 |
$2.02M |
| E1390 |
Oxygen concentrator |
26,990 |
21,611 |
$972K |
| A7030 |
Cpap full face mask |
8,205 |
7,396 |
$521K |
| E0601 |
Cont airway pressure device |
14,030 |
11,953 |
$393K |
| E0466 |
Home vent non-invasive inter |
720 |
554 |
$351K |
| A7031 |
Replacement facemask interfa |
10,788 |
9,763 |
$335K |
| E0570 |
Nebulizer with compression |
11,168 |
8,896 |
$283K |
| A4605 |
Trach suction cath close sys |
1,897 |
1,386 |
$240K |
| A4604 |
Tubing with heating element |
7,106 |
6,589 |
$195K |
| A4629 |
Tracheostomy care kit |
2,138 |
1,602 |
$187K |
| A7520 |
Trach/laryn tube non-cuffed |
4,483 |
1,090 |
$183K |
| E0562 |
Humidifier heated used w pap |
6,538 |
5,631 |
$177K |
| A7526 |
Tracheostomy tube collar |
2,425 |
1,896 |
$177K |
| A7034 |
Nasal application device |
4,135 |
3,661 |
$158K |
| E0431 |
Portable gaseous 02 |
21,126 |
17,087 |
$157K |
| A7032 |
Replacement nasal cushion |
4,221 |
3,749 |
$140K |
| E0443 |
Portable 02 contents, gas |
3,282 |
2,568 |
$129K |
| L3660 |
So 8 ab rstr can/web pre ots |
1,604 |
1,446 |
$112K |
| A7507 |
Integrated filter & holder |
1,869 |
1,411 |
$112K |
| A4624 |
Tracheal suction tube |
488 |
367 |
$99K |
| E0143 |
Walker folding wheeled w/o s |
4,107 |
3,150 |
$97K |
| K0001 |
Standard wheelchair |
7,459 |
6,077 |
$94K |
| A7035 |
Pos airway press headgear |
6,848 |
5,988 |
$88K |
| E0470 |
Rad w/o backup non-inv intfc |
1,719 |
1,418 |
$88K |
| A7038 |
Pos airway pressure filter |
21,756 |
19,142 |
$82K |
| E0114 |
Crutch underarm pair no wood |
2,256 |
2,048 |
$65K |
| A7033 |
Replacement nasal pillows |
2,321 |
2,114 |
$56K |
| A7037 |
Pos airway pressure tubing |
4,836 |
4,135 |
$51K |
| L1830 |
Ko immob canvas long pre ots |
763 |
691 |
$50K |
| E0600 |
Suction pump portab hom modl |
1,391 |
1,152 |
$38K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,952 |
2,274 |
$33K |
| A7046 |
Repl water chamber, pap dev |
4,486 |
4,059 |
$33K |
| L4361 |
Pneuma/vac walk boot pre ots |
220 |
201 |
$32K |
| L4350 |
Ankle control ortho pre ots |
345 |
310 |
$22K |
| A4628 |
Oropharyngeal suction cath |
2,393 |
1,847 |
$20K |
| L3908 |
Who cock-up nonmolde pre ots |
453 |
402 |
$20K |
| E1392 |
Portable oxygen concentrator |
1,492 |
1,268 |
$18K |
| A7045 |
Repl exhalation port for pap |
1,253 |
280 |
$15K |
| A7002 |
Tubing used w suction pump |
2,850 |
2,246 |
$15K |
| A7003 |
Nebulizer administration set |
5,974 |
5,029 |
$14K |
| A7001 |
Nondisposable pump canister |
652 |
487 |
$14K |
| A7039 |
Filter, non disposable w pap |
3,351 |
2,835 |
$13K |
| A7000 |
Disposable canister for pump |
1,925 |
1,576 |
$13K |
| E0445 |
Oximeter non-invasive |
520 |
427 |
$12K |
| E0630 |
Patient lift hydraulic |
713 |
517 |
$12K |
| A4623 |
Tracheostomy inner cannula |
134 |
87 |
$7K |
| A4618 |
Breathing circuits |
1,367 |
543 |
$7K |
| E0245 |
Tub stool or bench |
151 |
104 |
$6K |
| E0471 |
Rad w/backup non inv intrfc |
44 |
40 |
$6K |
| L3260 |
Ambulatory surgical boot eac |
541 |
445 |
$5K |
| K0195 |
Elevating whlchair leg rests |
1,440 |
1,260 |
$5K |
| L3809 |
Whfo w/o joints pre ots |
47 |
41 |
$4K |
| E0163 |
Commode chair with fixed arm |
126 |
101 |
$4K |
| E0261 |
Hosp bed semi-electr w/o mat |
139 |
74 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
3,060 |
2,701 |
$3K |
| L3670 |
So acro/clav can web pre ots |
47 |
43 |
$3K |
| K0003 |
Lightweight wheelchair |
349 |
224 |
$3K |
| E0149 |
Heavy duty wheeled walker |
84 |
69 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
328 |
156 |
$2K |
| A7005 |
Nondisposable nebulizer set |
100 |
85 |
$1K |
| E0156 |
Walker seat attachment |
569 |
383 |
$1K |
| E0247 |
Trans bench w/wo comm open |
22 |
16 |
$1K |
| E0135 |
Walker folding adjust/fixed |
29 |
26 |
$800.17 |
| A7014 |
Compressor nondispos filter |
194 |
148 |
$450.47 |
| A7012 |
Nebulizer water collec devic |
113 |
77 |
$393.57 |
| A7525 |
Tracheostomy mask |
319 |
214 |
$372.79 |
| E2601 |
Gen w/c cushion wdth < 22 in |
22 |
13 |
$210.30 |
| A7036 |
Pos airway press chinstrap |
25 |
24 |
$171.66 |
| E0961 |
Wheelchair brake extension |
87 |
42 |
$118.87 |
| E0181 |
Press pad alternating w/ pum |
26 |
24 |
$70.62 |
| A4616 |
Tubing (oxygen) per foot |
20 |
12 |
$0.60 |
| A4615 |
Cannula nasal |
67 |
24 |
$0.13 |