| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,904 |
11,393 |
$376K |
| E0466 |
Home vent non-invasive inter |
469 |
403 |
$94K |
| B4035 |
Enteral feed supp pump per d |
2,181 |
1,886 |
$79K |
| E0431 |
Portable gaseous 02 |
7,453 |
6,500 |
$76K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,850 |
1,577 |
$45K |
| B4034 |
Enter feed supkit syr by day |
1,387 |
1,211 |
$42K |
| B4154 |
Ef spec metabolic noninherit |
945 |
817 |
$40K |
| E0570 |
Nebulizer with compression |
3,706 |
3,287 |
$11K |
| E1392 |
Portable oxygen concentrator |
1,423 |
1,247 |
$11K |
| B9002 |
Enter nutr inf pump any type |
309 |
300 |
$6K |
| B4150 |
Ef complet w/intact nutrient |
37 |
36 |
$2K |
| E0601 |
Cont airway pressure device |
129 |
91 |
$2K |
| A7038 |
Pos airway pressure filter |
1,128 |
834 |
$2K |
| A7003 |
Nebulizer administration set |
2,096 |
1,796 |
$2K |
| E0562 |
Humidifier heated used w pap |
203 |
160 |
$1K |
| A7037 |
Pos airway pressure tubing |
346 |
312 |
$1K |
| A7031 |
Replacement facemask interfa |
70 |
63 |
$644.42 |
| E0776 |
Iv pole |
87 |
87 |
$296.95 |
| A7035 |
Pos airway press headgear |
26 |
25 |
$142.88 |
| A7005 |
Nondisposable nebulizer set |
40 |
36 |
$78.16 |