| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,512 |
8,475 |
$263K |
| E0443 |
Portable 02 contents, gas |
1,405 |
595 |
$104K |
| B4035 |
Enteral feed supp pump per d |
2,162 |
1,381 |
$51K |
| E0431 |
Portable gaseous 02 |
6,547 |
5,763 |
$46K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,406 |
928 |
$20K |
| E0466 |
Home vent non-invasive inter |
169 |
130 |
$19K |
| E0601 |
Cont airway pressure device |
182 |
128 |
$5K |
| E0570 |
Nebulizer with compression |
1,032 |
918 |
$4K |
| A7037 |
Pos airway pressure tubing |
267 |
184 |
$3K |
| J7620 |
Albuterol ipratrop non-comp |
689 |
606 |
$3K |
| E1392 |
Portable oxygen concentrator |
411 |
366 |
$2K |
| E0562 |
Humidifier heated used w pap |
188 |
117 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
82 |
75 |
$1K |
| J7613 |
Albuterol non-comp unit |
572 |
497 |
$1K |
| A7038 |
Pos airway pressure filter |
314 |
225 |
$987.81 |
| J7605 |
Arformoterol non-comp unit |
23 |
14 |
$900.89 |
| B4154 |
Ef spec metabolic noninherit |
76 |
60 |
$546.40 |
| A7003 |
Nebulizer administration set |
727 |
623 |
$228.12 |
| A7005 |
Nondisposable nebulizer set |
52 |
39 |
$179.59 |
| K0001 |
Standard wheelchair |
28 |
26 |
$133.24 |
| A7031 |
Replacement facemask interfa |
15 |
12 |
$74.22 |
| B4034 |
Enter feed supkit syr by day |
27 |
26 |
$47.50 |