| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
43,960 |
42,109 |
$2.22M |
| E0466 |
Home vent non-invasive inter |
5,303 |
5,125 |
$1.91M |
| A7030 |
Cpap full face mask |
8,421 |
8,130 |
$590K |
| E0601 |
Cont airway pressure device |
21,342 |
18,690 |
$573K |
| A7034 |
Nasal application device |
8,379 |
8,119 |
$308K |
| K0738 |
Portable gas oxygen system |
16,150 |
15,116 |
$250K |
| E0471 |
Rad w/backup non inv intrfc |
2,164 |
1,679 |
$239K |
| A4604 |
Tubing with heating element |
7,358 |
7,173 |
$200K |
| E2402 |
Neg press wound therapy pump |
430 |
382 |
$198K |
| E0470 |
Rad w/o backup non-inv intfc |
3,710 |
3,224 |
$186K |
| A7035 |
Pos airway press headgear |
12,193 |
11,825 |
$172K |
| A7031 |
Replacement facemask interfa |
6,185 |
5,891 |
$171K |
| E0431 |
Portable gaseous 02 |
13,935 |
13,343 |
$138K |
| E0570 |
Nebulizer with compression |
10,353 |
9,738 |
$137K |
| E0562 |
Humidifier heated used w pap |
4,153 |
3,932 |
$120K |
| E0465 |
Home vent invasive interface |
276 |
253 |
$119K |
| A7037 |
Pos airway pressure tubing |
9,778 |
9,445 |
$112K |
| A7032 |
Replacement nasal cushion |
3,832 |
3,651 |
$111K |
| A7038 |
Pos airway pressure filter |
17,004 |
16,314 |
$97K |
| A4624 |
Tracheal suction tube |
1,081 |
971 |
$93K |
| A7046 |
Repl water chamber, pap dev |
8,827 |
8,603 |
$75K |
| A4217 |
Sterile water/saline, 500 ml |
2,197 |
1,767 |
$66K |
| E0445 |
Oximeter non-invasive |
758 |
744 |
$60K |
| A7033 |
Replacement nasal pillows |
2,133 |
2,025 |
$50K |
| E1392 |
Portable oxygen concentrator |
4,457 |
4,225 |
$48K |
| A7526 |
Tracheostomy tube collar |
1,939 |
1,766 |
$48K |
| A4629 |
Tracheostomy care kit |
873 |
804 |
$47K |
| A7520 |
Trach/laryn tube non-cuffed |
1,052 |
967 |
$41K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,586 |
1,493 |
$37K |
| E0600 |
Suction pump portab hom modl |
2,138 |
1,957 |
$33K |
| K0001 |
Standard wheelchair |
1,724 |
1,629 |
$31K |
| A7005 |
Nondisposable nebulizer set |
2,281 |
2,197 |
$31K |
| A6550 |
Neg pres wound ther drsg set |
429 |
270 |
$26K |
| E0143 |
Walker folding wheeled w/o s |
666 |
659 |
$26K |
| A4628 |
Oropharyngeal suction cath |
1,746 |
1,516 |
$18K |
| A4927 |
Non-sterile gloves |
1,318 |
1,055 |
$17K |
| A7000 |
Disposable canister for pump |
2,868 |
2,315 |
$15K |
| A6402 |
Sterile gauze <= 16 sq in |
1,695 |
1,246 |
$15K |
| A7036 |
Pos airway press chinstrap |
1,601 |
1,565 |
$12K |
| E0565 |
Compressor air power source |
387 |
343 |
$5K |
| E0630 |
Patient lift hydraulic |
197 |
189 |
$2K |
| A7003 |
Nebulizer administration set |
2,264 |
2,177 |
$2K |
| A7002 |
Tubing used w suction pump |
1,332 |
1,020 |
$2K |
| A7525 |
Tracheostomy mask |
906 |
791 |
$2K |
| A7007 |
Lg vol nebulizer disposable |
399 |
342 |
$1K |
| A7039 |
Filter, non disposable w pap |
233 |
228 |
$984.60 |
| A7013 |
Disposable compressor filter |
1,884 |
1,829 |
$755.07 |
| A7521 |
Trach/laryn tube cuffed |
31 |
27 |
$514.75 |
| A7012 |
Nebulizer water collec devic |
68 |
61 |
$266.83 |
| A7010 |
Disposable corrugated tubing |
13 |
12 |
$221.78 |