| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,663 |
6,562 |
$264K |
| B4035 |
Enteral feed supp pump per d |
2,512 |
2,372 |
$144K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,180 |
2,070 |
$112K |
| B4150 |
Ef complet w/intact nutrient |
1,554 |
1,458 |
$93K |
| B4034 |
Enter feed supkit syr by day |
2,253 |
2,163 |
$73K |
| E0431 |
Portable gaseous 02 |
2,412 |
2,359 |
$15K |
| B9002 |
Enter nutr inf pump any type |
397 |
390 |
$8K |
| E0570 |
Nebulizer with compression |
1,384 |
1,336 |
$4K |
| E0776 |
Iv pole |
1,809 |
1,796 |
$3K |
| A7037 |
Pos airway pressure tubing |
234 |
233 |
$3K |
| A7031 |
Replacement facemask interfa |
81 |
80 |
$3K |
| E1392 |
Portable oxygen concentrator |
709 |
709 |
$1K |
| A7038 |
Pos airway pressure filter |
407 |
400 |
$1K |
| B4154 |
Ef spec metabolic noninherit |
28 |
25 |
$1K |
| A7030 |
Cpap full face mask |
25 |
25 |
$1K |
| A7003 |
Nebulizer administration set |
454 |
424 |
$364.38 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$67.49 |