| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4606 |
Oxygen probe used w oximeter |
19,393 |
4,511 |
$2.93M |
| E0619 |
Apnea monitor w recorder |
583 |
508 |
$255K |
| E1390 |
Oxygen concentrator |
1,611 |
1,473 |
$213K |
| E0445 |
Oximeter non-invasive |
414 |
387 |
$95K |
| A4557 |
Lead wires, pair |
3,298 |
1,949 |
$57K |
| A4556 |
Electrodes, pair |
3,277 |
1,952 |
$55K |
| E0443 |
Portable 02 contents, gas |
1,556 |
1,293 |
$28K |
| E0431 |
Portable gaseous 02 |
1,503 |
1,391 |
$21K |
| A4483 |
Moisture exchanger |
81 |
63 |
$15K |
| A7000 |
Disposable canister for pump |
1,194 |
1,046 |
$10K |
| A6257 |
Transparent film <= 16 sq in |
1,064 |
1,012 |
$9K |
| A7002 |
Tubing used w suction pump |
1,197 |
1,055 |
$8K |
| B4035 |
Enteral feed supp pump per d |
45 |
39 |
$8K |
| A4605 |
Trach suction cath close sys |
14 |
12 |
$6K |
| E0555 |
Humidifier for use w/ regula |
1,562 |
1,226 |
$5K |
| B9998 |
Enteral supp not otherwise c |
178 |
113 |
$5K |
| A9900 |
Supply/accessory/service |
1,176 |
643 |
$2K |
| A7526 |
Tracheostomy tube collar |
62 |
49 |
$2K |
| A4628 |
Oropharyngeal suction cath |
239 |
221 |
$2K |
| A4616 |
Tubing (oxygen) per foot |
1,831 |
1,572 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
194 |
176 |
$1K |
| A4615 |
Cannula nasal |
2,451 |
1,283 |
$1K |
| A7003 |
Nebulizer administration set |
517 |
448 |
$1K |
| A7007 |
Lg vol nebulizer disposable |
43 |
36 |
$174.62 |
| A4629 |
Tracheostomy care kit |
14 |
12 |
$153.24 |
| A7015 |
Aerosol mask used w nebulize |
101 |
79 |
$102.00 |
| A7012 |
Nebulizer water collec devic |
16 |
12 |
$35.77 |
| A7525 |
Tracheostomy mask |
72 |
36 |
$35.09 |