| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,759 |
975 |
$1.29M |
| E1390 |
Oxygen concentrator |
19,267 |
17,340 |
$888K |
| E0445 |
Oximeter non-invasive |
2,496 |
1,411 |
$224K |
| E0431 |
Portable gaseous 02 |
14,610 |
13,127 |
$161K |
| A4624 |
Tracheal suction tube |
728 |
662 |
$93K |
| A4606 |
Oxygen probe used w oximeter |
6,668 |
1,657 |
$84K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,794 |
2,499 |
$69K |
| A4629 |
Tracheostomy care kit |
699 |
620 |
$55K |
| A7000 |
Disposable canister for pump |
1,927 |
1,705 |
$46K |
| A4483 |
Moisture exchanger |
706 |
357 |
$38K |
| E0600 |
Suction pump portab hom modl |
985 |
844 |
$37K |
| K0001 |
Standard wheelchair |
3,137 |
2,805 |
$36K |
| A7526 |
Tracheostomy tube collar |
1,047 |
915 |
$33K |
| A7520 |
Trach/laryn tube non-cuffed |
632 |
544 |
$28K |
| A7002 |
Tubing used w suction pump |
1,867 |
1,655 |
$18K |
| E1392 |
Portable oxygen concentrator |
1,144 |
1,034 |
$18K |
| E0143 |
Walker folding wheeled w/o s |
515 |
476 |
$14K |
| E0570 |
Nebulizer with compression |
701 |
605 |
$14K |
| A4628 |
Oropharyngeal suction cath |
982 |
834 |
$11K |
| E0443 |
Portable 02 contents, gas |
1,258 |
1,117 |
$10K |
| E0562 |
Humidifier heated used w pap |
631 |
558 |
$7K |
| E0277 |
Powered pres-redu air mattrs |
44 |
37 |
$4K |
| E0163 |
Commode chair with fixed arm |
83 |
75 |
$2K |
| A7046 |
Repl water chamber, pap dev |
220 |
166 |
$2K |
| E0630 |
Patient lift hydraulic |
29 |
25 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
54 |
49 |
$1K |
| E0156 |
Walker seat attachment |
58 |
56 |
$482.71 |
| K0195 |
Elevating whlchair leg rests |
64 |
62 |
$261.28 |
| A7525 |
Tracheostomy mask |
92 |
64 |
$83.22 |
| A7003 |
Nebulizer administration set |
46 |
38 |
$70.97 |
| A7015 |
Aerosol mask used w nebulize |
14 |
13 |
$8.11 |