| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
39,089 |
36,753 |
$2.14M |
| E0441 |
Stationary o2 contents, gas |
6,511 |
6,084 |
$300K |
| E0431 |
Portable gaseous 02 |
20,790 |
19,672 |
$248K |
| E0466 |
Home vent non-invasive inter |
451 |
428 |
$228K |
| E0601 |
Cont airway pressure device |
3,814 |
3,315 |
$156K |
| B4035 |
Enteral feed supp pump per d |
2,196 |
1,865 |
$138K |
| E0439 |
Stationary liquid 02 |
2,078 |
1,999 |
$136K |
| A7030 |
Cpap full face mask |
2,317 |
2,058 |
$125K |
| E0562 |
Humidifier heated used w pap |
2,567 |
2,200 |
$118K |
| A7031 |
Replacement facemask interfa |
2,870 |
2,542 |
$75K |
| A7034 |
Nasal application device |
1,929 |
1,721 |
$59K |
| E0442 |
Stationary o2 contents, liq |
2,183 |
1,743 |
$56K |
| E0434 |
Portable liquid 02 |
2,112 |
1,916 |
$50K |
| B4150 |
Ef complet w/intact nutrient |
964 |
827 |
$43K |
| E1392 |
Portable oxygen concentrator |
3,066 |
2,924 |
$41K |
| A7037 |
Pos airway pressure tubing |
2,793 |
2,607 |
$32K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,098 |
926 |
$32K |
| E0465 |
Home vent invasive interface |
44 |
25 |
$32K |
| A7035 |
Pos airway press headgear |
2,689 |
2,412 |
$32K |
| A4604 |
Tubing with heating element |
1,544 |
1,370 |
$31K |
| E0471 |
Rad w/backup non inv intrfc |
132 |
108 |
$28K |
| A7046 |
Repl water chamber, pap dev |
2,572 |
2,227 |
$23K |
| A7032 |
Replacement nasal cushion |
1,099 |
966 |
$22K |
| A7038 |
Pos airway pressure filter |
6,301 |
5,666 |
$17K |
| E0570 |
Nebulizer with compression |
1,450 |
1,282 |
$11K |
| A7033 |
Replacement nasal pillows |
473 |
410 |
$9K |
| E0444 |
Portable 02 contents, liquid |
717 |
592 |
$7K |
| A4624 |
Tracheal suction tube |
61 |
37 |
$6K |
| E0443 |
Portable 02 contents, gas |
170 |
127 |
$5K |
| B4034 |
Enter feed supkit syr by day |
248 |
231 |
$5K |
| B4149 |
Ef blenderized foods |
14 |
12 |
$4K |
| E0776 |
Iv pole |
646 |
634 |
$2K |
| B9002 |
Enter nutr inf pump any type |
116 |
113 |
$1K |
| A7003 |
Nebulizer administration set |
201 |
160 |
$298.17 |
| A7000 |
Disposable canister for pump |
47 |
25 |
$33.23 |