| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,895 |
2,476 |
$199K |
| E0466 |
Home vent non-invasive inter |
740 |
630 |
$199K |
| B4035 |
Enteral feed supp pump per d |
781 |
621 |
$82K |
| B9002 |
Enter nutr inf pump any type |
552 |
513 |
$28K |
| B4152 |
Ef calorie dense>/=1.5kcal |
239 |
141 |
$18K |
| B4034 |
Enter feed supkit syr by day |
552 |
331 |
$17K |
| E0431 |
Portable gaseous 02 |
780 |
658 |
$14K |
| E0601 |
Cont airway pressure device |
177 |
137 |
$7K |
| E1392 |
Portable oxygen concentrator |
693 |
624 |
$5K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
14 |
12 |
$3K |
| E0562 |
Humidifier heated used w pap |
476 |
446 |
$2K |
| K0001 |
Standard wheelchair |
148 |
101 |
$1K |
| B9998 |
Enteral supp not otherwise c |
15 |
14 |
$891.16 |
| E0445 |
Oximeter non-invasive |
12 |
12 |
$855.00 |