| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
35,703 |
30,592 |
$1.69M |
| E0466 |
Home vent non-invasive inter |
1,403 |
1,265 |
$471K |
| B4035 |
Enteral feed supp pump per d |
2,028 |
1,650 |
$274K |
| E0431 |
Portable gaseous 02 |
23,459 |
20,026 |
$194K |
| A7030 |
Cpap full face mask |
2,460 |
2,181 |
$123K |
| A7031 |
Replacement facemask interfa |
4,005 |
3,688 |
$103K |
| E0601 |
Cont airway pressure device |
2,514 |
2,245 |
$88K |
| B4152 |
Ef calorie dense>/=1.5kcal |
756 |
596 |
$78K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,229 |
2,529 |
$58K |
| E0570 |
Nebulizer with compression |
11,281 |
9,830 |
$55K |
| A4604 |
Tubing with heating element |
2,939 |
2,554 |
$53K |
| B4150 |
Ef complet w/intact nutrient |
793 |
610 |
$53K |
| A7034 |
Nasal application device |
1,551 |
1,350 |
$43K |
| E1392 |
Portable oxygen concentrator |
3,484 |
3,022 |
$43K |
| K0001 |
Standard wheelchair |
4,652 |
3,771 |
$41K |
| E0562 |
Humidifier heated used w pap |
3,371 |
2,970 |
$36K |
| A7032 |
Replacement nasal cushion |
1,349 |
1,197 |
$35K |
| A7038 |
Pos airway pressure filter |
7,091 |
6,457 |
$25K |
| A7035 |
Pos airway press headgear |
2,411 |
2,124 |
$25K |
| E0470 |
Rad w/o backup non-inv intfc |
310 |
261 |
$23K |
| A7037 |
Pos airway pressure tubing |
1,096 |
976 |
$11K |
| A7033 |
Replacement nasal pillows |
699 |
631 |
$11K |
| A7046 |
Repl water chamber, pap dev |
1,858 |
1,637 |
$9K |
| E0443 |
Portable 02 contents, gas |
1,560 |
1,041 |
$7K |
| B9002 |
Enter nutr inf pump any type |
132 |
105 |
$5K |
| A7003 |
Nebulizer administration set |
2,857 |
2,283 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
298 |
238 |
$3K |
| E0630 |
Patient lift hydraulic |
113 |
92 |
$3K |
| E0600 |
Suction pump portab hom modl |
162 |
154 |
$2K |
| K0195 |
Elevating whlchair leg rests |
387 |
315 |
$2K |
| B4034 |
Enter feed supkit syr by day |
18 |
12 |
$1K |
| A7005 |
Nondisposable nebulizer set |
184 |
140 |
$522.47 |
| E0156 |
Walker seat attachment |
140 |
112 |
$384.16 |
| A7039 |
Filter, non disposable w pap |
34 |
27 |
$133.85 |
| E0181 |
Press pad alternating w/ pum |
33 |
24 |
$45.05 |
| A7013 |
Disposable compressor filter |
88 |
81 |
$25.16 |
| A7015 |
Aerosol mask used w nebulize |
29 |
27 |
$16.21 |