| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,291 |
946 |
$873K |
| E1390 |
Oxygen concentrator |
14,378 |
9,910 |
$866K |
| B4035 |
Enteral feed supp pump per d |
3,766 |
1,935 |
$439K |
| E0445 |
Oximeter non-invasive |
2,245 |
2,019 |
$364K |
| E0466 |
Home vent non-invasive inter |
825 |
521 |
$310K |
| A4623 |
Tracheostomy inner cannula |
1,710 |
1,056 |
$137K |
| A4624 |
Tracheal suction tube |
1,428 |
984 |
$131K |
| A4629 |
Tracheostomy care kit |
2,022 |
1,396 |
$122K |
| E0601 |
Cont airway pressure device |
2,512 |
2,016 |
$122K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,689 |
904 |
$113K |
| B9002 |
Enter nutr inf pump any type |
1,049 |
848 |
$78K |
| E0470 |
Rad w/o backup non-inv intfc |
729 |
558 |
$76K |
| A7030 |
Cpap full face mask |
829 |
747 |
$70K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,331 |
1,644 |
$68K |
| E1392 |
Portable oxygen concentrator |
3,260 |
2,778 |
$65K |
| B4161 |
Ef ped hydrolyzed/amino acid |
311 |
171 |
$62K |
| B4034 |
Enter feed supkit syr by day |
1,826 |
881 |
$61K |
| L8501 |
Tracheostomy speaking valve |
1,131 |
766 |
$58K |
| E0431 |
Portable gaseous 02 |
2,905 |
2,643 |
$51K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
770 |
434 |
$48K |
| E0143 |
Walker folding wheeled w/o s |
1,007 |
902 |
$48K |
| A7526 |
Tracheostomy tube collar |
2,361 |
1,654 |
$38K |
| K0738 |
Portable gas oxygen system |
2,269 |
1,964 |
$38K |
| A7520 |
Trach/laryn tube non-cuffed |
1,095 |
703 |
$35K |
| A4554 |
Disposable underpads |
664 |
616 |
$33K |
| E0562 |
Humidifier heated used w pap |
187 |
171 |
$29K |
| K0001 |
Standard wheelchair |
1,767 |
1,532 |
$28K |
| E0630 |
Patient lift hydraulic |
1,006 |
723 |
$27K |
| A7000 |
Disposable canister for pump |
2,014 |
1,600 |
$26K |
| E0163 |
Commode chair with fixed arm |
620 |
544 |
$24K |
| E0600 |
Suction pump portab hom modl |
885 |
747 |
$21K |
| E0570 |
Nebulizer with compression |
723 |
707 |
$18K |
| A7521 |
Trach/laryn tube cuffed |
605 |
447 |
$17K |
| A7035 |
Pos airway press headgear |
1,038 |
906 |
$17K |
| A7031 |
Replacement facemask interfa |
678 |
542 |
$17K |
| A7037 |
Pos airway pressure tubing |
606 |
549 |
$16K |
| B9998 |
Enteral supp not otherwise c |
1,801 |
791 |
$15K |
| K0195 |
Elevating whlchair leg rests |
1,184 |
1,114 |
$13K |
| K0003 |
Lightweight wheelchair |
280 |
242 |
$11K |
| E0149 |
Heavy duty wheeled walker |
488 |
433 |
$8K |
| E0565 |
Compressor air power source |
263 |
230 |
$7K |
| A7034 |
Nasal application device |
127 |
117 |
$6K |
| A7002 |
Tubing used w suction pump |
1,992 |
1,460 |
$6K |
| A4628 |
Oropharyngeal suction cath |
1,241 |
981 |
$5K |
| E0165 |
Commode chair with detacharm |
288 |
283 |
$4K |
| A7038 |
Pos airway pressure filter |
1,333 |
1,070 |
$3K |
| A4604 |
Tubing with heating element |
541 |
447 |
$3K |
| E0240 |
Bath/shower chair |
45 |
38 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
53 |
38 |
$2K |
| A7012 |
Nebulizer water collec devic |
981 |
632 |
$2K |
| A7003 |
Nebulizer administration set |
1,262 |
1,033 |
$2K |
| E0247 |
Trans bench w/wo comm open |
14 |
13 |
$1K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
112 |
83 |
$1K |
| E0156 |
Walker seat attachment |
105 |
86 |
$760.64 |
| A7525 |
Tracheostomy mask |
1,776 |
970 |
$745.99 |
| E0971 |
Wheelchair anti-tipping devi |
12 |
12 |
$587.00 |
| A7046 |
Repl water chamber, pap dev |
51 |
41 |
$91.68 |
| E0184 |
Dry pressure mattress |
20 |
12 |
$57.38 |
| A7015 |
Aerosol mask used w nebulize |
28 |
24 |
$38.23 |