| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
7,248 |
5,282 |
$2.47M |
| G9002 |
Mccd,maintenance rate |
3,400 |
3,323 |
$305K |
| E1390 |
Oxygen concentrator |
7,045 |
5,627 |
$220K |
| E0482 |
Cough stimulating device |
326 |
261 |
$73K |
| E0601 |
Cont airway pressure device |
2,837 |
2,244 |
$67K |
| A7030 |
Cpap full face mask |
704 |
640 |
$40K |
| E0431 |
Portable gaseous 02 |
5,566 |
4,842 |
$38K |
| E0562 |
Humidifier heated used w pap |
2,811 |
2,514 |
$38K |
| S5181 |
Hh respiratory thrpy nos/day |
270 |
270 |
$37K |
| E0143 |
Walker folding wheeled w/o s |
1,080 |
998 |
$24K |
| E1399 |
Durable medical equipment mi |
159 |
124 |
$21K |
| E0570 |
Nebulizer with compression |
1,375 |
1,205 |
$14K |
| A7035 |
Pos airway press headgear |
939 |
870 |
$12K |
| A4604 |
Tubing with heating element |
405 |
385 |
$11K |
| S5180 |
Hh respiratory thrpy in eval |
62 |
61 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
537 |
89 |
$6K |
| A7034 |
Nasal application device |
97 |
94 |
$4K |
| A6550 |
Neg pres wound ther drsg set |
17 |
12 |
$3K |
| A7038 |
Pos airway pressure filter |
1,721 |
1,346 |
$3K |
| E1392 |
Portable oxygen concentrator |
345 |
319 |
$3K |
| E2402 |
Neg press wound therapy pump |
15 |
12 |
$2K |
| E0600 |
Suction pump portab hom modl |
147 |
112 |
$2K |
| A7046 |
Repl water chamber, pap dev |
181 |
177 |
$2K |
| K0003 |
Lightweight wheelchair |
133 |
112 |
$1K |
| A7037 |
Pos airway pressure tubing |
122 |
100 |
$1K |
| A7031 |
Replacement facemask interfa |
28 |
28 |
$767.63 |
| K0195 |
Elevating whlchair leg rests |
125 |
110 |
$569.48 |
| E0156 |
Walker seat attachment |
45 |
39 |
$349.06 |
| A6402 |
Sterile gauze <= 16 sq in |
15 |
13 |
$192.08 |
| A7003 |
Nebulizer administration set |
84 |
81 |
$86.68 |
| G9001 |
Mccd, initial rate |
50 |
48 |
$50.00 |
| A7013 |
Disposable compressor filter |
68 |
65 |
$27.13 |
| E0971 |
Wheelchair anti-tipping devi |
35 |
16 |
$20.10 |