| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
5,303 |
4,618 |
$1.48M |
| E1390 |
Oxygen concentrator |
31,876 |
23,556 |
$889K |
| E0465 |
Home vent invasive interface |
428 |
304 |
$237K |
| A7030 |
Cpap full face mask |
5,267 |
4,418 |
$170K |
| A7031 |
Replacement facemask interfa |
9,261 |
7,721 |
$139K |
| A4604 |
Tubing with heating element |
9,060 |
7,564 |
$136K |
| E0601 |
Cont airway pressure device |
7,353 |
6,390 |
$130K |
| A7034 |
Nasal application device |
5,647 |
4,734 |
$130K |
| A7032 |
Replacement nasal cushion |
6,488 |
5,486 |
$126K |
| E0431 |
Portable gaseous 02 |
18,332 |
14,709 |
$116K |
| E0445 |
Oximeter non-invasive |
1,714 |
1,602 |
$94K |
| E1392 |
Portable oxygen concentrator |
8,339 |
5,913 |
$70K |
| A7033 |
Replacement nasal pillows |
4,240 |
3,571 |
$60K |
| E0562 |
Humidifier heated used w pap |
2,766 |
2,419 |
$57K |
| A7038 |
Pos airway pressure filter |
20,914 |
17,513 |
$46K |
| A7035 |
Pos airway press headgear |
5,480 |
4,595 |
$40K |
| E0482 |
Cough stimulating device |
146 |
138 |
$37K |
| E0470 |
Rad w/o backup non-inv intfc |
786 |
673 |
$30K |
| A7526 |
Tracheostomy tube collar |
562 |
386 |
$29K |
| K0001 |
Standard wheelchair |
3,134 |
2,532 |
$27K |
| A4605 |
Trach suction cath close sys |
307 |
210 |
$25K |
| A7046 |
Repl water chamber, pap dev |
4,813 |
4,044 |
$23K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,718 |
1,384 |
$22K |
| E0471 |
Rad w/backup non inv intrfc |
287 |
241 |
$19K |
| E0600 |
Suction pump portab hom modl |
944 |
841 |
$18K |
| E0570 |
Nebulizer with compression |
4,590 |
3,968 |
$17K |
| E0143 |
Walker folding wheeled w/o s |
895 |
759 |
$15K |
| A4606 |
Oxygen probe used w oximeter |
1,179 |
556 |
$14K |
| A7000 |
Disposable canister for pump |
1,319 |
973 |
$11K |
| A4629 |
Tracheostomy care kit |
184 |
131 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,715 |
1,459 |
$9K |
| A7509 |
Heat & moisture exchange sys |
312 |
227 |
$8K |
| A4628 |
Oropharyngeal suction cath |
1,248 |
906 |
$7K |
| K0195 |
Elevating whlchair leg rests |
1,387 |
1,150 |
$7K |
| A7002 |
Tubing used w suction pump |
1,329 |
981 |
$5K |
| A4216 |
Sterile water/saline, 10 ml |
171 |
104 |
$3K |
| A7005 |
Nondisposable nebulizer set |
635 |
540 |
$3K |
| A7039 |
Filter, non disposable w pap |
1,105 |
922 |
$2K |
| K0003 |
Lightweight wheelchair |
214 |
174 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
546 |
379 |
$2K |
| A7036 |
Pos airway press chinstrap |
476 |
386 |
$2K |
| A4402 |
Lubricant per ounce |
330 |
245 |
$1K |
| A7003 |
Nebulizer administration set |
512 |
388 |
$873.77 |
| B9002 |
Enter nutr inf pump any type |
29 |
24 |
$785.41 |
| E0971 |
Wheelchair anti-tipping devi |
591 |
255 |
$661.53 |
| A4618 |
Breathing circuits |
107 |
78 |
$535.76 |
| E0163 |
Commode chair with fixed arm |
13 |
12 |
$261.52 |
| A7013 |
Disposable compressor filter |
161 |
130 |
$53.05 |
| E0156 |
Walker seat attachment |
18 |
12 |
$29.07 |
| A4649 |
Surgical supplies |
59 |
39 |
$11.62 |
| A4615 |
Cannula nasal |
52 |
40 |
$5.57 |
| A4616 |
Tubing (oxygen) per foot |
12 |
12 |
$0.13 |