| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
19,098 |
19,019 |
$554K |
| E0466 |
Home vent non-invasive inter |
712 |
712 |
$222K |
| B4035 |
Enteral feed supp pump per d |
2,647 |
2,425 |
$133K |
| E0431 |
Portable gaseous 02 |
13,625 |
13,555 |
$86K |
| B4154 |
Ef spec metabolic noninherit |
811 |
738 |
$64K |
| A7034 |
Nasal application device |
1,213 |
1,209 |
$23K |
| B4152 |
Ef calorie dense>/=1.5kcal |
476 |
448 |
$20K |
| B4150 |
Ef complet w/intact nutrient |
434 |
389 |
$19K |
| E1392 |
Portable oxygen concentrator |
1,258 |
1,255 |
$18K |
| E0443 |
Portable 02 contents, gas |
658 |
657 |
$14K |
| A4604 |
Tubing with heating element |
1,017 |
1,012 |
$14K |
| E0570 |
Nebulizer with compression |
9,960 |
9,931 |
$14K |
| B9002 |
Enter nutr inf pump any type |
585 |
581 |
$13K |
| E0601 |
Cont airway pressure device |
632 |
628 |
$11K |
| A7038 |
Pos airway pressure filter |
1,815 |
1,798 |
$8K |
| A7033 |
Replacement nasal pillows |
202 |
201 |
$7K |
| A7032 |
Replacement nasal cushion |
166 |
165 |
$5K |
| A7035 |
Pos airway press headgear |
689 |
685 |
$5K |
| A7005 |
Nondisposable nebulizer set |
1,332 |
1,330 |
$4K |
| A7003 |
Nebulizer administration set |
3,313 |
3,160 |
$3K |
| E0562 |
Humidifier heated used w pap |
289 |
289 |
$3K |
| A7031 |
Replacement facemask interfa |
51 |
50 |
$2K |
| A7046 |
Repl water chamber, pap dev |
390 |
389 |
$1K |
| E0776 |
Iv pole |
363 |
363 |
$784.94 |
| A7037 |
Pos airway pressure tubing |
77 |
77 |
$443.04 |
| A7030 |
Cpap full face mask |
27 |
27 |
$338.66 |
| A7015 |
Aerosol mask used w nebulize |
519 |
491 |
$157.81 |