| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
32,345 |
28,710 |
$1.44M |
| E0601 |
Cont airway pressure device |
8,994 |
8,047 |
$332K |
| E0570 |
Nebulizer with compression |
6,751 |
5,796 |
$273K |
| E0465 |
Home vent invasive interface |
358 |
244 |
$214K |
| E0431 |
Portable gaseous 02 |
20,456 |
18,047 |
$201K |
| A7030 |
Cpap full face mask |
2,702 |
2,373 |
$137K |
| B4035 |
Enteral feed supp pump per d |
723 |
551 |
$129K |
| E0445 |
Oximeter non-invasive |
737 |
587 |
$110K |
| E0470 |
Rad w/o backup non-inv intfc |
1,255 |
1,078 |
$105K |
| E0562 |
Humidifier heated used w pap |
9,484 |
8,408 |
$102K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,699 |
2,276 |
$90K |
| A7031 |
Replacement facemask interfa |
3,524 |
3,099 |
$89K |
| B4161 |
Ef ped hydrolyzed/amino acid |
146 |
98 |
$74K |
| A4624 |
Tracheal suction tube |
627 |
471 |
$73K |
| E1392 |
Portable oxygen concentrator |
3,105 |
2,676 |
$54K |
| K0001 |
Standard wheelchair |
3,821 |
3,145 |
$48K |
| B4150 |
Ef complet w/intact nutrient |
423 |
333 |
$47K |
| A4604 |
Tubing with heating element |
1,134 |
1,049 |
$39K |
| A7037 |
Pos airway pressure tubing |
3,946 |
3,516 |
$38K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
202 |
134 |
$38K |
| A7034 |
Nasal application device |
776 |
714 |
$37K |
| A7035 |
Pos airway press headgear |
2,839 |
2,533 |
$37K |
| A4351 |
Straight tip urine catheter |
304 |
262 |
$33K |
| A4606 |
Oxygen probe used w oximeter |
783 |
578 |
$32K |
| A4629 |
Tracheostomy care kit |
372 |
291 |
$32K |
| A4627 |
Spacer bag/reservoir |
1,014 |
984 |
$31K |
| L4387 |
Non-pneum walk boot pre ots |
243 |
231 |
$27K |
| L3908 |
Who cock-up nonmolde pre ots |
626 |
551 |
$24K |
| B9002 |
Enter nutr inf pump any type |
293 |
263 |
$23K |
| A7005 |
Nondisposable nebulizer set |
2,536 |
2,295 |
$23K |
| A7526 |
Tracheostomy tube collar |
499 |
395 |
$21K |
| A7038 |
Pos airway pressure filter |
6,136 |
5,456 |
$19K |
| A7032 |
Replacement nasal cushion |
480 |
443 |
$16K |
| E1399 |
Durable medical equipment mi |
171 |
111 |
$15K |
| E0600 |
Suction pump portab hom modl |
440 |
320 |
$15K |
| E0143 |
Walker folding wheeled w/o s |
466 |
405 |
$13K |
| B4034 |
Enter feed supkit syr by day |
201 |
156 |
$13K |
| E0630 |
Patient lift hydraulic |
365 |
321 |
$11K |
| K0003 |
Lightweight wheelchair |
378 |
347 |
$10K |
| A7000 |
Disposable canister for pump |
805 |
638 |
$10K |
| E0114 |
Crutch underarm pair no wood |
295 |
266 |
$9K |
| K0195 |
Elevating whlchair leg rests |
1,139 |
1,006 |
$9K |
| K0007 |
Extra heavy duty wheelchair |
141 |
132 |
$8K |
| E0255 |
Hospital bed var ht w/ mattr |
777 |
624 |
$8K |
| A9999 |
Dme supply or accessory, nos |
486 |
309 |
$8K |
| A7046 |
Repl water chamber, pap dev |
811 |
737 |
$6K |
| B4152 |
Ef calorie dense>/=1.5kcal |
73 |
52 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,215 |
1,112 |
$6K |
| A7033 |
Replacement nasal pillows |
194 |
180 |
$6K |
| A7002 |
Tubing used w suction pump |
840 |
646 |
$4K |
| A4628 |
Oropharyngeal suction cath |
299 |
235 |
$4K |
| E0163 |
Commode chair with fixed arm |
145 |
118 |
$4K |
| E0776 |
Iv pole |
323 |
291 |
$3K |
| K0006 |
Heavy duty wheelchair |
67 |
60 |
$2K |
| E0973 |
W/ch access det adj armrest |
741 |
400 |
$2K |
| A7003 |
Nebulizer administration set |
855 |
766 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
195 |
171 |
$2K |
| E0156 |
Walker seat attachment |
238 |
203 |
$2K |
| A4623 |
Tracheostomy inner cannula |
15 |
12 |
$2K |
| E0443 |
Portable 02 contents, gas |
160 |
110 |
$2K |
| E0565 |
Compressor air power source |
16 |
14 |
$1K |
| E0971 |
Wheelchair anti-tipping devi |
411 |
236 |
$964.99 |
| A4213 |
20+ cc syringe only |
41 |
38 |
$434.26 |
| A7036 |
Pos airway press chinstrap |
47 |
38 |
$352.54 |
| A7004 |
Disposable nebulizer sml vol |
833 |
748 |
$240.59 |