| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,131 |
14,068 |
$1.20M |
| E0601 |
Cont airway pressure device |
4,813 |
4,581 |
$225K |
| A7030 |
Cpap full face mask |
2,743 |
2,665 |
$179K |
| E0431 |
Portable gaseous 02 |
7,979 |
7,326 |
$131K |
| E0466 |
Home vent non-invasive inter |
255 |
248 |
$103K |
| E0562 |
Humidifier heated used w pap |
4,968 |
4,668 |
$91K |
| A7031 |
Replacement facemask interfa |
2,389 |
2,332 |
$74K |
| A7035 |
Pos airway press headgear |
2,599 |
2,517 |
$41K |
| A7034 |
Nasal application device |
986 |
953 |
$39K |
| A7032 |
Replacement nasal cushion |
880 |
849 |
$38K |
| A7038 |
Pos airway pressure filter |
7,427 |
7,135 |
$37K |
| A7037 |
Pos airway pressure tubing |
2,590 |
2,499 |
$37K |
| B4035 |
Enteral feed supp pump per d |
129 |
117 |
$29K |
| E1392 |
Portable oxygen concentrator |
2,317 |
2,244 |
$22K |
| A4604 |
Tubing with heating element |
1,058 |
1,032 |
$22K |
| A7046 |
Repl water chamber, pap dev |
2,524 |
2,427 |
$21K |
| E0470 |
Rad w/o backup non-inv intfc |
172 |
170 |
$18K |
| E0570 |
Nebulizer with compression |
1,227 |
1,209 |
$8K |
| B4034 |
Enter feed supkit syr by day |
18 |
15 |
$2K |
| B4088 |
Gastro/jejuno tube, low-pro |
21 |
18 |
$1K |
| A7033 |
Replacement nasal pillows |
37 |
36 |
$1K |
| A7003 |
Nebulizer administration set |
725 |
678 |
$664.42 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$87.66 |
| A7039 |
Filter, non disposable w pap |
16 |
16 |
$56.45 |