| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
517 |
426 |
$41K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
253 |
221 |
$25K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
126 |
65 |
$5K |
| B9002 |
Enteral nutrition infusion pump, any type |
140 |
117 |
$5K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
53 |
25 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
227 |
185 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
59 |
53 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
102 |
93 |
$563.96 |
| E1392 |
Portable oxygen concentrator, rental |
17 |
12 |
$150.07 |
| E0776 |
Iv pole |
15 |
12 |
$29.96 |