| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,352 |
9,245 |
$383K |
| E0431 |
Portable gaseous 02 |
6,145 |
6,054 |
$56K |
| B4035 |
Enteral feed supp pump per d |
121 |
112 |
$20K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
98 |
93 |
$14K |
| E0570 |
Nebulizer with compression |
3,369 |
3,333 |
$14K |
| A7038 |
Pos airway pressure filter |
364 |
346 |
$2K |
| A7030 |
Cpap full face mask |
62 |
55 |
$2K |
| A7003 |
Nebulizer administration set |
1,573 |
1,486 |
$1K |
| E1392 |
Portable oxygen concentrator |
148 |
147 |
$1K |
| A7031 |
Replacement facemask interfa |
49 |
44 |
$1K |
| Q0513 |
Disp fee inhal drugs/30 days |
23 |
19 |
$697.17 |
| E0601 |
Cont airway pressure device |
39 |
38 |
$561.71 |
| A7037 |
Pos airway pressure tubing |
63 |
57 |
$477.52 |
| E0562 |
Humidifier heated used w pap |
49 |
49 |
$343.17 |
| A7046 |
Repl water chamber, pap dev |
29 |
26 |
$108.43 |
| A7035 |
Pos airway press headgear |
16 |
13 |
$104.59 |
| A7005 |
Nondisposable nebulizer set |
12 |
12 |
$34.51 |