| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
857 |
803 |
$660K |
| E1390 |
Oxygen concentrator |
4,096 |
4,006 |
$484K |
| E0471 |
Rad w/backup non inv intrfc |
411 |
385 |
$212K |
| E0445 |
Oximeter non-invasive |
1,794 |
1,742 |
$201K |
| E0601 |
Cont airway pressure device |
1,616 |
1,562 |
$113K |
| A4606 |
Oxygen probe used w oximeter |
640 |
617 |
$68K |
| E0600 |
Suction pump portab hom modl |
1,565 |
1,514 |
$65K |
| A7520 |
Trach/laryn tube non-cuffed |
227 |
213 |
$62K |
| E0431 |
Portable gaseous 02 |
2,669 |
2,605 |
$53K |
| E0465 |
Home vent invasive interface |
153 |
103 |
$51K |
| E0562 |
Humidifier heated used w pap |
1,389 |
1,336 |
$38K |
| E0570 |
Nebulizer with compression |
372 |
372 |
$36K |
| A7000 |
Disposable canister for pump |
1,257 |
1,173 |
$33K |
| K0001 |
Standard wheelchair |
800 |
796 |
$27K |
| A7002 |
Tubing used w suction pump |
1,392 |
1,224 |
$22K |
| B9998 |
Enteral supp not otherwise c |
353 |
295 |
$22K |
| B4035 |
Enteral feed supp pump per d |
146 |
139 |
$18K |
| E0482 |
Cough stimulating device |
55 |
50 |
$16K |
| K0195 |
Elevating whlchair leg rests |
1,018 |
973 |
$15K |
| A6402 |
Sterile gauze <= 16 sq in |
691 |
665 |
$9K |
| A7035 |
Pos airway press headgear |
198 |
196 |
$6K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
15 |
14 |
$6K |
| A4628 |
Oropharyngeal suction cath |
305 |
286 |
$5K |
| A7038 |
Pos airway pressure filter |
365 |
359 |
$5K |
| A4322 |
Irrigation syringe |
61 |
58 |
$5K |
| E1235 |
Rigid ped wc adjustable |
104 |
104 |
$5K |
| A4624 |
Tracheal suction tube |
56 |
52 |
$4K |
| A7034 |
Nasal application device |
28 |
27 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
619 |
606 |
$2K |
| E0978 |
W/c acc,saf belt pelv strap |
491 |
461 |
$1K |
| B9002 |
Enter nutr inf pump any type |
13 |
13 |
$1K |
| A7003 |
Nebulizer administration set |
681 |
664 |
$1K |
| A7526 |
Tracheostomy tube collar |
12 |
12 |
$1K |
| E0776 |
Iv pole |
58 |
50 |
$944.04 |
| A4629 |
Tracheostomy care kit |
13 |
12 |
$789.33 |
| A4604 |
Tubing with heating element |
13 |
13 |
$764.65 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$257.76 |
| E0971 |
Wheelchair anti-tipping devi |
13 |
13 |
$0.00 |
| E1226 |
Manual fully reclining back |
13 |
13 |
$0.00 |