| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,533 |
8,630 |
$273K |
| E0431 |
Portable gaseous 02 |
5,693 |
4,685 |
$73K |
| E0601 |
Cont airway pressure device |
1,468 |
1,312 |
$54K |
| E0465 |
Home vent invasive interface |
82 |
76 |
$31K |
| E0570 |
Nebulizer with compression |
3,868 |
2,887 |
$22K |
| E0562 |
Humidifier heated used w pap |
1,512 |
1,338 |
$12K |
| B4035 |
Enteral feed supp pump per d |
91 |
75 |
$10K |
| E0466 |
Home vent non-invasive inter |
29 |
26 |
$8K |
| E1392 |
Portable oxygen concentrator |
2,013 |
1,607 |
$6K |
| A4624 |
Tracheal suction tube |
32 |
26 |
$5K |
| A7003 |
Nebulizer administration set |
2,643 |
2,039 |
$4K |
| A7002 |
Tubing used w suction pump |
488 |
405 |
$797.75 |
| A7038 |
Pos airway pressure filter |
1,313 |
1,084 |
$743.25 |
| A7031 |
Replacement facemask interfa |
139 |
121 |
$574.08 |
| A7526 |
Tracheostomy tube collar |
104 |
89 |
$508.70 |
| A7032 |
Replacement nasal cushion |
14 |
13 |
$318.30 |
| A7030 |
Cpap full face mask |
163 |
144 |
$267.95 |
| A7000 |
Disposable canister for pump |
155 |
124 |
$229.47 |
| A7037 |
Pos airway pressure tubing |
203 |
177 |
$199.04 |
| A7046 |
Repl water chamber, pap dev |
90 |
81 |
$92.87 |
| A4628 |
Oropharyngeal suction cath |
19 |
12 |
$50.86 |
| A7035 |
Pos airway press headgear |
136 |
118 |
$46.32 |
| A7034 |
Nasal application device |
46 |
42 |
$21.36 |
| E0443 |
Portable 02 contents, gas |
68 |
54 |
$15.85 |