| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
19,051 |
11,099 |
$329K |
| E0466 |
Home vent non-invasive inter |
1,692 |
839 |
$254K |
| B4035 |
Enteral feed supp pump per d |
3,437 |
2,585 |
$97K |
| E0431 |
Portable gaseous 02 |
11,656 |
7,055 |
$51K |
| A7031 |
Replacement facemask interfa |
2,362 |
1,367 |
$38K |
| A7030 |
Cpap full face mask |
1,676 |
871 |
$32K |
| B4152 |
Ef calorie dense>/=1.5kcal |
981 |
733 |
$30K |
| B4150 |
Ef complet w/intact nutrient |
990 |
686 |
$24K |
| B4154 |
Ef spec metabolic noninherit |
616 |
436 |
$24K |
| E0570 |
Nebulizer with compression |
7,475 |
4,628 |
$18K |
| E1392 |
Portable oxygen concentrator |
3,561 |
2,020 |
$15K |
| E0601 |
Cont airway pressure device |
1,423 |
847 |
$14K |
| E0442 |
Stationary o2 contents, liq |
1,955 |
813 |
$7K |
| B9002 |
Enter nutr inf pump any type |
713 |
632 |
$7K |
| A7037 |
Pos airway pressure tubing |
2,391 |
1,262 |
$7K |
| A7038 |
Pos airway pressure filter |
4,042 |
2,346 |
$6K |
| A7035 |
Pos airway press headgear |
1,588 |
825 |
$6K |
| E0562 |
Humidifier heated used w pap |
587 |
433 |
$5K |
| E0444 |
Portable 02 contents, liquid |
1,365 |
537 |
$5K |
| A7034 |
Nasal application device |
578 |
286 |
$4K |
| E0443 |
Portable 02 contents, gas |
669 |
229 |
$2K |
| A7046 |
Repl water chamber, pap dev |
954 |
453 |
$1K |
| A7003 |
Nebulizer administration set |
2,715 |
1,456 |
$1K |
| A7032 |
Replacement nasal cushion |
99 |
55 |
$1K |
| A7005 |
Nondisposable nebulizer set |
150 |
87 |
$508.73 |
| A4604 |
Tubing with heating element |
17 |
12 |
$190.00 |
| A7039 |
Filter, non disposable w pap |
50 |
12 |
$20.02 |
| A7015 |
Aerosol mask used w nebulize |
18 |
13 |
$6.07 |
| A7013 |
Disposable compressor filter |
17 |
13 |
$2.92 |