| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,397 |
18,439 |
$1.34M |
| E0465 |
Home vent invasive interface |
1,746 |
1,204 |
$984K |
| E0601 |
Cont airway pressure device |
9,116 |
8,745 |
$733K |
| E0562 |
Humidifier heated used w pap |
2,084 |
1,988 |
$328K |
| A7030 |
Cpap full face mask |
3,319 |
3,155 |
$287K |
| E0424 |
Stationary compressed gas 02 |
2,515 |
2,421 |
$286K |
| E0570 |
Nebulizer with compression |
10,002 |
9,324 |
$228K |
| A4604 |
Tubing with heating element |
6,255 |
5,979 |
$219K |
| A7034 |
Nasal application device |
3,545 |
3,396 |
$218K |
| E0471 |
Rad w/backup non inv intrfc |
597 |
578 |
$185K |
| E0470 |
Rad w/o backup non-inv intfc |
1,354 |
1,288 |
$181K |
| E0431 |
Portable gaseous 02 |
12,135 |
11,470 |
$152K |
| A7035 |
Pos airway press headgear |
5,915 |
5,662 |
$129K |
| A4217 |
Sterile water/saline, 500 ml |
1,391 |
1,032 |
$111K |
| E0600 |
Suction pump portab hom modl |
2,448 |
2,172 |
$90K |
| A4606 |
Oxygen probe used w oximeter |
1,645 |
1,403 |
$86K |
| A4624 |
Tracheal suction tube |
553 |
447 |
$85K |
| A7031 |
Replacement facemask interfa |
2,442 |
2,309 |
$80K |
| A4605 |
Trach suction cath close sys |
270 |
219 |
$77K |
| E1392 |
Portable oxygen concentrator |
3,351 |
3,188 |
$66K |
| A7526 |
Tracheostomy tube collar |
1,326 |
1,109 |
$62K |
| K0108 |
W/c component-accessory nos |
403 |
162 |
$60K |
| A7038 |
Pos airway pressure filter |
9,181 |
8,758 |
$59K |
| K0001 |
Standard wheelchair |
4,440 |
3,999 |
$55K |
| E0466 |
Home vent non-invasive inter |
82 |
81 |
$52K |
| A7520 |
Trach/laryn tube non-cuffed |
492 |
429 |
$52K |
| A7000 |
Disposable canister for pump |
2,082 |
1,959 |
$46K |
| E0294 |
Hosp bed semi-elect w/ mattr |
1,599 |
1,576 |
$44K |
| A7005 |
Nondisposable nebulizer set |
1,836 |
1,757 |
$37K |
| E0445 |
Oximeter non-invasive |
88 |
82 |
$37K |
| A7032 |
Replacement nasal cushion |
1,429 |
1,357 |
$37K |
| A4623 |
Tracheostomy inner cannula |
271 |
234 |
$36K |
| A7046 |
Repl water chamber, pap dev |
3,347 |
3,182 |
$36K |
| A7002 |
Tubing used w suction pump |
2,540 |
2,120 |
$32K |
| E0143 |
Walker folding wheeled w/o s |
691 |
626 |
$25K |
| E0630 |
Patient lift hydraulic |
846 |
729 |
$22K |
| E1028 |
W/c manual swingaway |
433 |
278 |
$21K |
| A4629 |
Tracheostomy care kit |
268 |
231 |
$20K |
| A4628 |
Oropharyngeal suction cath |
1,973 |
1,633 |
$15K |
| A4927 |
Non-sterile gloves |
1,504 |
1,246 |
$15K |
| A7039 |
Filter, non disposable w pap |
1,527 |
1,466 |
$13K |
| E0482 |
Cough stimulating device |
36 |
36 |
$13K |
| K0739 |
Repair/svc dme non-oxygen eq |
367 |
182 |
$12K |
| A4216 |
Sterile water/saline, 10 ml |
414 |
369 |
$11K |
| A7521 |
Trach/laryn tube cuffed |
85 |
77 |
$7K |
| A7507 |
Integrated filter & holder |
84 |
74 |
$6K |
| E0955 |
Cushioned headrest |
135 |
134 |
$6K |
| K0738 |
Portable gas oxygen system |
201 |
190 |
$5K |
| A7003 |
Nebulizer administration set |
2,889 |
2,742 |
$5K |
| E0971 |
Wheelchair anti-tipping devi |
182 |
116 |
$4K |
| A7033 |
Replacement nasal pillows |
182 |
174 |
$4K |
| E0156 |
Walker seat attachment |
433 |
396 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
313 |
255 |
$4K |
| E0973 |
W/ch access det adj armrest |
61 |
37 |
$4K |
| E1161 |
Manual adult wc w tiltinspac |
13 |
13 |
$3K |
| E1399 |
Durable medical equipment mi |
60 |
40 |
$3K |
| E0565 |
Compressor air power source |
78 |
75 |
$3K |
| E2607 |
Skin pro/pos wc cus wd <22in |
15 |
14 |
$3K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
268 |
203 |
$2K |
| A7037 |
Pos airway pressure tubing |
97 |
86 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
144 |
140 |
$2K |
| A7014 |
Compressor nondispos filter |
549 |
515 |
$2K |
| E0978 |
W/c acc,saf belt pelv strap |
46 |
43 |
$990.79 |
| E1372 |
Oxy suppl heater for nebuliz |
26 |
24 |
$924.20 |
| A7007 |
Lg vol nebulizer disposable |
112 |
92 |
$760.91 |
| A7036 |
Pos airway press chinstrap |
68 |
63 |
$669.94 |
| A7012 |
Nebulizer water collec devic |
88 |
76 |
$642.56 |
| K0195 |
Elevating whlchair leg rests |
13 |
12 |
$307.82 |
| A4618 |
Breathing circuits |
14 |
13 |
$239.41 |
| A6453 |
Self-adher band w <3"/yd |
85 |
76 |
$147.80 |
| K0052 |
Swingaway detach ftrest repl |
63 |
26 |
$131.38 |
| E0181 |
Press pad alternating w/ pum |
14 |
12 |
$82.90 |
| A7015 |
Aerosol mask used w nebulize |
24 |
24 |
$37.65 |
| A9900 |
Supply/accessory/service |
18 |
13 |
$25.95 |
| A4616 |
Tubing (oxygen) per foot |
21 |
13 |
$15.53 |