| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,742 |
5,345 |
$371K |
| E0601 |
Cont airway pressure device |
3,431 |
3,028 |
$161K |
| E0466 |
Home vent non-invasive inter |
409 |
329 |
$42K |
| E0431 |
Portable gaseous 02 |
2,656 |
2,016 |
$28K |
| E0470 |
Rad w/o backup non-inv intfc |
192 |
173 |
$22K |
| E0562 |
Humidifier heated used w pap |
4,044 |
3,644 |
$20K |
| E1392 |
Portable oxygen concentrator |
2,545 |
2,125 |
$20K |
| E0570 |
Nebulizer with compression |
1,184 |
921 |
$11K |
| K0001 |
Standard wheelchair |
983 |
743 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
288 |
239 |
$4K |
| B4152 |
Ef calorie dense>/=1.5kcal |
15 |
12 |
$2K |
| B4034 |
Enter feed supkit syr by day |
34 |
24 |
$1K |
| A7002 |
Tubing used w suction pump |
16 |
12 |
$17.82 |
| A7035 |
Pos airway press headgear |
48 |
38 |
$0.00 |
| A7038 |
Pos airway pressure filter |
81 |
64 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
44 |
38 |
$0.00 |