| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,187 |
8,669 |
$1.17M |
| E0601 |
Cont airway pressure device |
16,529 |
15,844 |
$916K |
| A7030 |
Cpap full face mask |
3,840 |
3,832 |
$272K |
| E0562 |
Humidifier heated used w pap |
11,302 |
10,568 |
$241K |
| A7034 |
Nasal application device |
5,382 |
5,371 |
$224K |
| E0470 |
Rad w/o backup non-inv intfc |
1,647 |
1,589 |
$186K |
| E0431 |
Portable gaseous 02 |
6,529 |
6,131 |
$150K |
| A7031 |
Replacement facemask interfa |
5,233 |
5,202 |
$140K |
| A7035 |
Pos airway press headgear |
7,617 |
7,602 |
$125K |
| A4604 |
Tubing with heating element |
4,412 |
4,403 |
$104K |
| A7032 |
Replacement nasal cushion |
3,717 |
3,688 |
$83K |
| A4624 |
Tracheal suction tube |
917 |
881 |
$81K |
| E0445 |
Oximeter non-invasive |
717 |
654 |
$73K |
| A7033 |
Replacement nasal pillows |
3,743 |
3,713 |
$65K |
| A7037 |
Pos airway pressure tubing |
4,696 |
4,684 |
$64K |
| A7038 |
Pos airway pressure filter |
17,264 |
17,125 |
$58K |
| A4629 |
Tracheostomy care kit |
558 |
521 |
$55K |
| E0424 |
Stationary compressed gas 02 |
382 |
348 |
$46K |
| E0471 |
Rad w/backup non inv intrfc |
177 |
164 |
$43K |
| A7000 |
Disposable canister for pump |
2,504 |
2,390 |
$39K |
| A7520 |
Trach/laryn tube non-cuffed |
672 |
634 |
$28K |
| A4217 |
Sterile water/saline, 500 ml |
1,444 |
1,268 |
$27K |
| A7002 |
Tubing used w suction pump |
2,624 |
2,444 |
$24K |
| K0001 |
Standard wheelchair |
747 |
685 |
$22K |
| A4216 |
Sterile water/saline, 10 ml |
865 |
827 |
$22K |
| E0570 |
Nebulizer with compression |
885 |
873 |
$20K |
| A4628 |
Oropharyngeal suction cath |
2,069 |
1,957 |
$18K |
| E0600 |
Suction pump portab hom modl |
224 |
206 |
$9K |
| A7046 |
Repl water chamber, pap dev |
2,067 |
2,065 |
$8K |
| A7003 |
Nebulizer administration set |
2,140 |
2,044 |
$8K |
| A7007 |
Lg vol nebulizer disposable |
792 |
746 |
$7K |
| A6402 |
Sterile gauze <= 16 sq in |
604 |
585 |
$5K |
| K0195 |
Elevating whlchair leg rests |
405 |
362 |
$5K |
| A4481 |
Tracheostoma filter |
263 |
251 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
53 |
53 |
$4K |
| A7036 |
Pos airway press chinstrap |
217 |
217 |
$2K |
| A7525 |
Tracheostomy mask |
485 |
427 |
$2K |
| A7526 |
Tracheostomy tube collar |
82 |
77 |
$2K |
| A7507 |
Integrated filter & holder |
24 |
24 |
$1K |
| A4927 |
Non-sterile gloves |
13 |
12 |
$26.95 |