| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
7,444 |
6,790 |
$6.59M |
| E1390 |
Oxygen concentrator |
101,348 |
91,404 |
$6.45M |
| E0465 |
Home vent invasive interface |
5,381 |
4,152 |
$6.20M |
| K0738 |
Portable gas oxygen system |
63,683 |
58,408 |
$1.92M |
| E0445 |
Oximeter non-invasive |
6,126 |
5,320 |
$1.53M |
| E0601 |
Cont airway pressure device |
24,058 |
20,849 |
$1.28M |
| E0562 |
Humidifier heated used w pap |
6,767 |
5,811 |
$1.03M |
| A7030 |
Cpap full face mask |
13,407 |
11,374 |
$1.02M |
| A4606 |
Oxygen probe used w oximeter |
11,660 |
7,143 |
$952K |
| A4624 |
Tracheal suction tube |
4,535 |
3,615 |
$835K |
| E0441 |
Stationary o2 contents, gas |
17,901 |
15,101 |
$783K |
| A7034 |
Nasal application device |
12,803 |
11,373 |
$663K |
| A7031 |
Replacement facemask interfa |
16,213 |
13,588 |
$473K |
| E0471 |
Rad w/backup non inv intrfc |
1,572 |
1,340 |
$436K |
| A7526 |
Tracheostomy tube collar |
4,519 |
3,971 |
$380K |
| A4481 |
Tracheostoma filter |
2,532 |
2,194 |
$316K |
| A7520 |
Trach/laryn tube non-cuffed |
4,229 |
2,955 |
$312K |
| A4604 |
Tubing with heating element |
12,158 |
9,783 |
$290K |
| A7035 |
Pos airway press headgear |
15,912 |
13,950 |
$284K |
| E0470 |
Rad w/o backup non-inv intfc |
2,079 |
1,755 |
$237K |
| A9999 |
Dme supply or accessory, nos |
16,279 |
6,721 |
$217K |
| A7037 |
Pos airway pressure tubing |
11,210 |
9,792 |
$217K |
| A7032 |
Replacement nasal cushion |
10,859 |
9,396 |
$215K |
| E0600 |
Suction pump portab hom modl |
3,647 |
3,452 |
$208K |
| A7046 |
Repl water chamber, pap dev |
16,222 |
14,063 |
$183K |
| A4629 |
Tracheostomy care kit |
2,633 |
2,251 |
$179K |
| E1392 |
Portable oxygen concentrator |
9,103 |
7,186 |
$154K |
| A7038 |
Pos airway pressure filter |
35,040 |
29,182 |
$152K |
| A4216 |
Sterile water/saline, 10 ml |
4,883 |
3,407 |
$139K |
| A4483 |
Moisture exchanger |
2,267 |
1,652 |
$139K |
| E0482 |
Cough stimulating device |
296 |
264 |
$99K |
| A4605 |
Trach suction cath close sys |
1,329 |
1,098 |
$82K |
| A4927 |
Non-sterile gloves |
4,912 |
3,516 |
$78K |
| E0431 |
Portable gaseous 02 |
6,815 |
5,854 |
$75K |
| A7033 |
Replacement nasal pillows |
4,494 |
3,858 |
$70K |
| L8501 |
Tracheostomy speaking valve |
897 |
804 |
$62K |
| A7002 |
Tubing used w suction pump |
9,202 |
7,068 |
$51K |
| E0570 |
Nebulizer with compression |
5,140 |
4,701 |
$49K |
| A6402 |
Sterile gauze <= 16 sq in |
3,737 |
2,981 |
$47K |
| A7521 |
Trach/laryn tube cuffed |
534 |
339 |
$42K |
| K0001 |
Standard wheelchair |
3,595 |
2,809 |
$38K |
| A7000 |
Disposable canister for pump |
8,553 |
7,187 |
$36K |
| S8186 |
Swivel adaptor |
3,204 |
1,939 |
$35K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,963 |
1,550 |
$34K |
| A4628 |
Oropharyngeal suction cath |
6,541 |
5,342 |
$33K |
| E0143 |
Walker folding wheeled w/o s |
1,902 |
1,360 |
$29K |
| S8189 |
Trach supply noc |
1,547 |
916 |
$26K |
| A7045 |
Repl exhalation port for pap |
1,786 |
1,535 |
$20K |
| A7007 |
Lg vol nebulizer disposable |
2,389 |
1,576 |
$17K |
| A7003 |
Nebulizer administration set |
4,718 |
3,953 |
$13K |
| K0002 |
Stnd hemi (low seat) whlchr |
947 |
692 |
$12K |
| A4618 |
Breathing circuits |
1,296 |
1,099 |
$11K |
| K0003 |
Lightweight wheelchair |
627 |
515 |
$9K |
| A7525 |
Tracheostomy mask |
2,535 |
1,808 |
$7K |
| A7039 |
Filter, non disposable w pap |
1,370 |
1,158 |
$7K |
| A7020 |
Interface, cough stim device |
929 |
595 |
$6K |
| A4623 |
Tracheostomy inner cannula |
44 |
36 |
$5K |
| E0971 |
Wheelchair anti-tipping devi |
2,117 |
839 |
$5K |
| E0156 |
Walker seat attachment |
870 |
554 |
$4K |
| K0195 |
Elevating whlchair leg rests |
1,188 |
944 |
$4K |
| A7012 |
Nebulizer water collec devic |
2,056 |
1,695 |
$4K |
| A7005 |
Nondisposable nebulizer set |
293 |
258 |
$3K |
| E2601 |
Gen w/c cushion wdth < 22 in |
135 |
83 |
$3K |
| A7036 |
Pos airway press chinstrap |
152 |
142 |
$1K |
| E0951 |
Loop heel |
1,369 |
509 |
$1K |
| E0630 |
Patient lift hydraulic |
68 |
65 |
$848.93 |
| E0185 |
Gel pressure mattress pad |
52 |
38 |
$839.44 |
| E0973 |
W/ch access det adj armrest |
311 |
139 |
$755.09 |
| E0245 |
Tub stool or bench |
14 |
12 |
$598.88 |
| E0439 |
Stationary liquid 02 |
13 |
12 |
$570.32 |
| E0434 |
Portable liquid 02 |
27 |
25 |
$512.96 |
| A7527 |
Trach/laryn tube plug/stop |
90 |
86 |
$322.16 |
| E0163 |
Commode chair with fixed arm |
16 |
12 |
$285.71 |
| A7010 |
Disposable corrugated tubing |
41 |
37 |
$257.12 |
| A7015 |
Aerosol mask used w nebulize |
133 |
117 |
$141.49 |
| E0271 |
Mattress innerspring |
109 |
107 |
$34.44 |
| E0305 |
Rails bed side half length |
66 |
66 |
$7.29 |
| E0240 |
Bath/shower chair |
23 |
12 |
$0.00 |