| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
8,414 |
7,336 |
$246K |
| B4035 |
Enteral feed supp pump per d |
3,254 |
2,847 |
$125K |
| A7031 |
Replacement facemask interfa |
1,023 |
910 |
$35K |
| A7030 |
Cpap full face mask |
984 |
865 |
$34K |
| E1392 |
Portable oxygen concentrator |
2,004 |
1,707 |
$30K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,926 |
1,667 |
$25K |
| E0431 |
Portable gaseous 02 |
4,929 |
4,360 |
$23K |
| E0601 |
Cont airway pressure device |
1,036 |
923 |
$20K |
| A7038 |
Pos airway pressure filter |
2,624 |
2,378 |
$14K |
| A7037 |
Pos airway pressure tubing |
1,710 |
1,557 |
$10K |
| E0562 |
Humidifier heated used w pap |
1,025 |
920 |
$8K |
| A7034 |
Nasal application device |
285 |
257 |
$7K |
| A7035 |
Pos airway press headgear |
891 |
795 |
$6K |
| E0570 |
Nebulizer with compression |
2,331 |
2,188 |
$6K |
| A7046 |
Repl water chamber, pap dev |
488 |
426 |
$6K |
| A7032 |
Replacement nasal cushion |
68 |
63 |
$3K |
| B9002 |
Enter nutr inf pump any type |
158 |
131 |
$3K |
| B4154 |
Ef spec metabolic noninherit |
338 |
316 |
$1K |
| A7005 |
Nondisposable nebulizer set |
56 |
52 |
$126.71 |
| A7003 |
Nebulizer administration set |
236 |
213 |
$114.56 |
| E0470 |
Rad w/o backup non-inv intfc |
12 |
12 |
$101.40 |
| A7039 |
Filter, non disposable w pap |
13 |
13 |
$1.14 |
| Q0513 |
Disp fee inhal drugs/30 days |
64 |
58 |
$0.00 |