| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,446 |
18,894 |
$1.62M |
| E0466 |
Home vent non-invasive inter |
905 |
854 |
$671K |
| A7030 |
Cpap full face mask |
6,180 |
5,982 |
$499K |
| E0601 |
Cont airway pressure device |
9,653 |
9,411 |
$406K |
| A7031 |
Replacement facemask interfa |
12,765 |
12,067 |
$393K |
| E0470 |
Rad w/o backup non-inv intfc |
2,140 |
2,109 |
$249K |
| A7034 |
Nasal application device |
3,751 |
3,607 |
$193K |
| E0431 |
Portable gaseous 02 |
10,920 |
10,567 |
$176K |
| E0562 |
Humidifier heated used w pap |
2,987 |
2,925 |
$156K |
| A7037 |
Pos airway pressure tubing |
8,086 |
7,837 |
$142K |
| A7032 |
Replacement nasal cushion |
4,588 |
4,238 |
$139K |
| K0738 |
Portable gas oxygen system |
4,404 |
4,345 |
$110K |
| A7035 |
Pos airway press headgear |
6,110 |
5,909 |
$106K |
| A7038 |
Pos airway pressure filter |
23,227 |
21,967 |
$98K |
| A7033 |
Replacement nasal pillows |
3,247 |
3,050 |
$76K |
| E0570 |
Nebulizer with compression |
3,933 |
3,786 |
$60K |
| E0465 |
Home vent invasive interface |
74 |
73 |
$45K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,022 |
977 |
$42K |
| E0471 |
Rad w/backup non inv intrfc |
159 |
158 |
$32K |
| K0001 |
Standard wheelchair |
1,617 |
1,546 |
$24K |
| A7046 |
Repl water chamber, pap dev |
4,698 |
4,545 |
$24K |
| E0143 |
Walker folding wheeled w/o s |
608 |
582 |
$18K |
| E0600 |
Suction pump portab hom modl |
518 |
466 |
$17K |
| E0630 |
Patient lift hydraulic |
421 |
401 |
$16K |
| A4629 |
Tracheostomy care kit |
164 |
151 |
$15K |
| A7039 |
Filter, non disposable w pap |
2,008 |
1,959 |
$13K |
| A4554 |
Disposable underpads |
392 |
388 |
$12K |
| E0445 |
Oximeter non-invasive |
117 |
116 |
$12K |
| L3660 |
So 8 ab rstr can/web pre ots |
261 |
250 |
$11K |
| E0114 |
Crutch underarm pair no wood |
337 |
326 |
$11K |
| A7005 |
Nondisposable nebulizer set |
859 |
844 |
$11K |
| A4624 |
Tracheal suction tube |
64 |
63 |
$9K |
| K0003 |
Lightweight wheelchair |
662 |
645 |
$9K |
| A7000 |
Disposable canister for pump |
308 |
292 |
$6K |
| L4361 |
Pneuma/vac walk boot pre ots |
31 |
30 |
$4K |
| A4335 |
Incontinence supply |
783 |
761 |
$4K |
| A7036 |
Pos airway press chinstrap |
499 |
478 |
$3K |
| A7526 |
Tracheostomy tube collar |
114 |
105 |
$3K |
| CP004 |
|
339 |
283 |
$3K |
| A7002 |
Tubing used w suction pump |
306 |
279 |
$3K |
| K0195 |
Elevating whlchair leg rests |
320 |
315 |
$2K |
| A4623 |
Tracheostomy inner cannula |
29 |
25 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
262 |
134 |
$1K |
| A4628 |
Oropharyngeal suction cath |
202 |
193 |
$1K |
| E2611 |
Gen use back cush wdth <22in |
15 |
15 |
$899.68 |
| E2601 |
Gen w/c cushion wdth < 22 in |
32 |
32 |
$724.30 |
| L3908 |
Who cock-up nonmolde pre ots |
24 |
24 |
$633.35 |
| A6402 |
Sterile gauze <= 16 sq in |
97 |
86 |
$583.40 |
| E0163 |
Commode chair with fixed arm |
13 |
12 |
$327.72 |
| A7013 |
Disposable compressor filter |
626 |
614 |
$272.14 |
| A7015 |
Aerosol mask used w nebulize |
258 |
254 |
$257.99 |
| E0951 |
Loop heel |
32 |
17 |
$161.90 |
| A4604 |
Tubing with heating element |
1,175 |
1,147 |
$156.40 |
| E0240 |
Bath/shower chair |
12 |
12 |
$118.08 |
| A7003 |
Nebulizer administration set |
55 |
53 |
$109.96 |
| E1392 |
Portable oxygen concentrator |
525 |
503 |
$28.76 |