| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,198 |
6,920 |
$148K |
| B4035 |
Enteral feed supp pump per d |
5,655 |
3,729 |
$136K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,197 |
2,721 |
$107K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
670 |
645 |
$90K |
| E0431 |
Portable gaseous 02 |
5,979 |
4,683 |
$52K |
| B4034 |
Enter feed supkit syr by day |
1,596 |
1,109 |
$50K |
| B4150 |
Ef complet w/intact nutrient |
1,547 |
1,068 |
$48K |
| E0466 |
Home vent non-invasive inter |
591 |
372 |
$39K |
| B4154 |
Ef spec metabolic noninherit |
1,670 |
1,021 |
$26K |
| E0601 |
Cont airway pressure device |
774 |
732 |
$16K |
| B9002 |
Enter nutr inf pump any type |
1,172 |
753 |
$14K |
| E0562 |
Humidifier heated used w pap |
684 |
636 |
$4K |
| E0570 |
Nebulizer with compression |
2,174 |
1,779 |
$3K |
| E0776 |
Iv pole |
1,617 |
1,206 |
$3K |
| E1392 |
Portable oxygen concentrator |
344 |
248 |
$2K |
| A7030 |
Cpap full face mask |
154 |
127 |
$1K |
| A7031 |
Replacement facemask interfa |
278 |
225 |
$1K |
| A7038 |
Pos airway pressure filter |
1,787 |
1,454 |
$719.24 |
| A7034 |
Nasal application device |
236 |
187 |
$579.78 |
| A7037 |
Pos airway pressure tubing |
591 |
478 |
$421.55 |
| A7035 |
Pos airway press headgear |
364 |
303 |
$248.43 |
| A7003 |
Nebulizer administration set |
481 |
381 |
$177.86 |
| A4314 |
Cath w/drainage 2-way latex |
174 |
89 |
$160.92 |
| A7046 |
Repl water chamber, pap dev |
157 |
134 |
$83.53 |
| E0443 |
Portable 02 contents, gas |
20 |
12 |
$35.36 |
| A4357 |
Bedside drainage bag |
73 |
38 |
$16.78 |
| A4604 |
Tubing with heating element |
48 |
41 |
$0.33 |
| A7032 |
Replacement nasal cushion |
97 |
92 |
$0.00 |