| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
11,664 |
9,758 |
$2.74M |
| E1390 |
Oxygen concentrator |
66,287 |
51,398 |
$1.81M |
| E0465 |
Home vent invasive interface |
1,584 |
880 |
$534K |
| A7030 |
Cpap full face mask |
13,601 |
10,992 |
$450K |
| E0601 |
Cont airway pressure device |
19,482 |
16,628 |
$394K |
| A4604 |
Tubing with heating element |
22,824 |
18,689 |
$342K |
| A7031 |
Replacement facemask interfa |
20,568 |
16,830 |
$315K |
| A7034 |
Nasal application device |
11,363 |
9,368 |
$246K |
| A7032 |
Replacement nasal cushion |
12,304 |
10,214 |
$226K |
| E0431 |
Portable gaseous 02 |
33,643 |
27,043 |
$222K |
| E1392 |
Portable oxygen concentrator |
17,914 |
14,303 |
$161K |
| E0562 |
Humidifier heated used w pap |
11,482 |
9,740 |
$152K |
| E0471 |
Rad w/backup non inv intrfc |
1,485 |
1,190 |
$111K |
| E0470 |
Rad w/o backup non-inv intfc |
3,018 |
2,473 |
$111K |
| A7035 |
Pos airway press headgear |
13,405 |
10,927 |
$101K |
| A7038 |
Pos airway pressure filter |
40,023 |
33,076 |
$90K |
| A7033 |
Replacement nasal pillows |
6,028 |
5,027 |
$80K |
| E0260 |
Hosp bed semi-electr w/ matt |
5,058 |
3,994 |
$74K |
| K0001 |
Standard wheelchair |
6,959 |
5,833 |
$62K |
| E0143 |
Walker folding wheeled w/o s |
3,350 |
2,806 |
$62K |
| A7046 |
Repl water chamber, pap dev |
10,444 |
8,568 |
$47K |
| E0570 |
Nebulizer with compression |
10,567 |
8,968 |
$42K |
| A4623 |
Tracheostomy inner cannula |
510 |
323 |
$35K |
| E0445 |
Oximeter non-invasive |
568 |
497 |
$28K |
| E0600 |
Suction pump portab hom modl |
1,611 |
1,362 |
$23K |
| E0630 |
Patient lift hydraulic |
1,047 |
852 |
$15K |
| A4629 |
Tracheostomy care kit |
341 |
232 |
$15K |
| K0002 |
Stnd hemi (low seat) whlchr |
1,093 |
859 |
$15K |
| K0195 |
Elevating whlchair leg rests |
2,796 |
2,263 |
$13K |
| A7526 |
Tracheostomy tube collar |
339 |
225 |
$9K |
| K0003 |
Lightweight wheelchair |
811 |
677 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,736 |
1,336 |
$9K |
| A7000 |
Disposable canister for pump |
1,141 |
777 |
$6K |
| A7036 |
Pos airway press chinstrap |
1,542 |
1,312 |
$6K |
| A7039 |
Filter, non disposable w pap |
1,913 |
1,568 |
$5K |
| E0163 |
Commode chair with fixed arm |
275 |
221 |
$4K |
| A7002 |
Tubing used w suction pump |
1,029 |
659 |
$3K |
| A4628 |
Oropharyngeal suction cath |
570 |
391 |
$3K |
| E0483 |
Hi freq chest wall oscil sys |
16 |
12 |
$2K |
| A4624 |
Tracheal suction tube |
60 |
36 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
157 |
96 |
$762.84 |
| E0565 |
Compressor air power source |
52 |
40 |
$690.21 |
| A7003 |
Nebulizer administration set |
609 |
455 |
$591.95 |
| E0443 |
Portable 02 contents, gas |
165 |
159 |
$566.48 |
| K0738 |
Portable gas oxygen system |
106 |
94 |
$498.69 |
| E0971 |
Wheelchair anti-tipping devi |
350 |
204 |
$492.09 |
| E0261 |
Hosp bed semi-electr w/o mat |
13 |
13 |
$241.97 |
| A7005 |
Nondisposable nebulizer set |
35 |
24 |
$165.11 |
| A7520 |
Trach/laryn tube non-cuffed |
20 |
13 |
$134.75 |
| E0156 |
Walker seat attachment |
50 |
39 |
$129.88 |
| E2601 |
Gen w/c cushion wdth < 22 in |
18 |
16 |
$78.54 |
| A7525 |
Tracheostomy mask |
48 |
25 |
$26.94 |