| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
51,847 |
49,474 |
$1.75M |
| E0466 |
Home vent non-invasive inter |
2,962 |
2,656 |
$750K |
| A7030 |
Cpap full face mask |
6,145 |
5,847 |
$287K |
| E0431 |
Portable gaseous 02 |
31,644 |
30,169 |
$255K |
| A7031 |
Replacement facemask interfa |
8,224 |
7,715 |
$193K |
| E0601 |
Cont airway pressure device |
7,747 |
7,309 |
$147K |
| A4604 |
Tubing with heating element |
5,507 |
5,243 |
$116K |
| A7034 |
Nasal application device |
3,523 |
3,373 |
$102K |
| B4035 |
Enteral feed supp pump per d |
2,321 |
2,055 |
$82K |
| A7035 |
Pos airway press headgear |
6,871 |
6,512 |
$77K |
| A7032 |
Replacement nasal cushion |
2,895 |
2,734 |
$77K |
| E0562 |
Humidifier heated used w pap |
6,557 |
6,108 |
$53K |
| E0570 |
Nebulizer with compression |
8,410 |
7,942 |
$49K |
| A7038 |
Pos airway pressure filter |
15,539 |
14,423 |
$42K |
| A7033 |
Replacement nasal pillows |
1,563 |
1,472 |
$31K |
| E0470 |
Rad w/o backup non-inv intfc |
906 |
858 |
$30K |
| A7037 |
Pos airway pressure tubing |
4,134 |
3,973 |
$26K |
| E0439 |
Stationary liquid 02 |
541 |
530 |
$21K |
| A7046 |
Repl water chamber, pap dev |
3,222 |
3,125 |
$21K |
| B4152 |
Ef calorie dense>/=1.5kcal |
504 |
457 |
$19K |
| K0738 |
Portable gas oxygen system |
697 |
695 |
$17K |
| B4150 |
Ef complet w/intact nutrient |
465 |
434 |
$15K |
| E1392 |
Portable oxygen concentrator |
1,567 |
1,506 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
760 |
743 |
$10K |
| E0443 |
Portable 02 contents, gas |
867 |
829 |
$8K |
| A7039 |
Filter, non disposable w pap |
1,511 |
1,447 |
$6K |
| A7005 |
Nondisposable nebulizer set |
632 |
610 |
$6K |
| E0630 |
Patient lift hydraulic |
283 |
279 |
$4K |
| E0471 |
Rad w/backup non inv intrfc |
26 |
24 |
$2K |
| B4153 |
Ef hydrolyzed/amino acids |
27 |
24 |
$2K |
| A7003 |
Nebulizer administration set |
2,349 |
2,170 |
$2K |
| E0600 |
Suction pump portab hom modl |
69 |
69 |
$1K |
| E0442 |
Stationary o2 contents, liq |
51 |
49 |
$818.01 |
| E0434 |
Portable liquid 02 |
52 |
52 |
$420.17 |
| A7036 |
Pos airway press chinstrap |
44 |
41 |
$362.83 |
| A7015 |
Aerosol mask used w nebulize |
286 |
278 |
$228.11 |
| A7013 |
Disposable compressor filter |
456 |
438 |
$201.81 |
| B4087 |
Gastro/jejuno tube, std |
25 |
25 |
$129.86 |
| K0195 |
Elevating whlchair leg rests |
14 |
13 |
$60.54 |