| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
26,350 |
23,136 |
$1.42M |
| E0466 |
Home vent non-invasive inter |
1,136 |
1,020 |
$374K |
| E0431 |
Portable gaseous 02 |
11,502 |
10,154 |
$144K |
| B4035 |
Enteral feed supp pump per d |
1,849 |
1,523 |
$94K |
| A7030 |
Cpap full face mask |
1,699 |
1,534 |
$86K |
| A7037 |
Pos airway pressure tubing |
4,799 |
4,320 |
$84K |
| A7038 |
Pos airway pressure filter |
5,716 |
5,135 |
$57K |
| E0601 |
Cont airway pressure device |
2,159 |
1,886 |
$55K |
| A7032 |
Replacement nasal cushion |
1,124 |
1,018 |
$50K |
| A7031 |
Replacement facemask interfa |
1,820 |
1,643 |
$46K |
| A7034 |
Nasal application device |
880 |
782 |
$39K |
| A7035 |
Pos airway press headgear |
1,951 |
1,737 |
$35K |
| E0562 |
Humidifier heated used w pap |
1,661 |
1,475 |
$31K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,260 |
1,081 |
$29K |
| E1392 |
Portable oxygen concentrator |
2,310 |
2,034 |
$25K |
| E0570 |
Nebulizer with compression |
4,029 |
3,698 |
$24K |
| K0738 |
Portable gas oxygen system |
577 |
536 |
$19K |
| A7039 |
Filter, non disposable w pap |
948 |
848 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
690 |
598 |
$12K |
| A7046 |
Repl water chamber, pap dev |
881 |
799 |
$11K |
| K0003 |
Lightweight wheelchair |
222 |
208 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
27 |
24 |
$2K |
| A7003 |
Nebulizer administration set |
1,569 |
1,385 |
$2K |
| K0001 |
Standard wheelchair |
38 |
38 |
$783.21 |
| B9002 |
Enter nutr inf pump any type |
79 |
63 |
$722.61 |
| A7013 |
Disposable compressor filter |
13 |
12 |
$5.51 |