| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,510 |
2,466 |
$170K |
| E0601 |
Cont airway pressure device |
2,400 |
2,396 |
$120K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
504 |
488 |
$76K |
| A7030 |
Cpap full face mask |
360 |
345 |
$20K |
| E0431 |
Portable gaseous 02 |
1,214 |
1,197 |
$20K |
| B4035 |
Enteral feed supp pump per d |
114 |
99 |
$16K |
| B4150 |
Ef complet w/intact nutrient |
177 |
166 |
$15K |
| B4087 |
Gastro/jejuno tube, std |
235 |
221 |
$14K |
| E0570 |
Nebulizer with compression |
348 |
339 |
$9K |
| A7031 |
Replacement facemask interfa |
287 |
278 |
$8K |
| A7035 |
Pos airway press headgear |
462 |
452 |
$8K |
| E0470 |
Rad w/o backup non-inv intfc |
64 |
64 |
$7K |
| A7038 |
Pos airway pressure filter |
1,306 |
1,260 |
$7K |
| A7037 |
Pos airway pressure tubing |
329 |
327 |
$7K |
| E0562 |
Humidifier heated used w pap |
114 |
114 |
$3K |
| A7034 |
Nasal application device |
84 |
81 |
$3K |
| B4088 |
Gastro/jejuno tube, low-pro |
28 |
27 |
$2K |
| B4152 |
Ef calorie dense>/=1.5kcal |
12 |
12 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
12 |
12 |
$907.83 |
| A7046 |
Repl water chamber, pap dev |
181 |
176 |
$897.87 |
| A4604 |
Tubing with heating element |
51 |
50 |
$206.59 |