| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
40,377 |
28,157 |
$846K |
| E0466 |
Home vent non-invasive inter |
1,522 |
1,105 |
$417K |
| E0431 |
Portable gaseous 02 |
25,274 |
18,366 |
$128K |
| E0570 |
Nebulizer with compression |
6,880 |
5,645 |
$67K |
| E0260 |
Hosp bed semi-electr w/ matt |
2,868 |
2,243 |
$48K |
| B4152 |
Ef calorie dense>/=1.5kcal |
915 |
689 |
$47K |
| B4035 |
Enteral feed supp pump per d |
573 |
434 |
$31K |
| K0001 |
Standard wheelchair |
3,165 |
2,556 |
$26K |
| B4034 |
Enter feed supkit syr by day |
853 |
648 |
$22K |
| A7030 |
Cpap full face mask |
538 |
446 |
$21K |
| E1392 |
Portable oxygen concentrator |
2,067 |
1,646 |
$21K |
| B4150 |
Ef complet w/intact nutrient |
437 |
331 |
$21K |
| A7031 |
Replacement facemask interfa |
782 |
665 |
$15K |
| E0601 |
Cont airway pressure device |
539 |
442 |
$14K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
57 |
49 |
$9K |
| E0562 |
Humidifier heated used w pap |
755 |
623 |
$6K |
| A7035 |
Pos airway press headgear |
636 |
522 |
$6K |
| A4604 |
Tubing with heating element |
348 |
273 |
$6K |
| A7038 |
Pos airway pressure filter |
3,007 |
2,527 |
$5K |
| E0443 |
Portable 02 contents, gas |
835 |
620 |
$5K |
| A7034 |
Nasal application device |
248 |
186 |
$5K |
| A7005 |
Nondisposable nebulizer set |
890 |
769 |
$4K |
| E0630 |
Patient lift hydraulic |
188 |
156 |
$4K |
| A7037 |
Pos airway pressure tubing |
674 |
567 |
$4K |
| A7003 |
Nebulizer administration set |
3,138 |
2,364 |
$3K |
| K0195 |
Elevating whlchair leg rests |
777 |
672 |
$2K |
| A7046 |
Repl water chamber, pap dev |
341 |
266 |
$2K |
| A7032 |
Replacement nasal cushion |
118 |
91 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
75 |
71 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
644 |
565 |
$904.92 |