| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,546 |
12,450 |
$304K |
| B4035 |
Enteral feed supp pump per d |
1,187 |
716 |
$184K |
| E0466 |
Home vent non-invasive inter |
553 |
457 |
$172K |
| E2402 |
Neg press wound therapy pump |
616 |
390 |
$144K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
973 |
568 |
$142K |
| E0431 |
Portable gaseous 02 |
7,102 |
5,940 |
$58K |
| E0601 |
Cont airway pressure device |
3,437 |
2,979 |
$51K |
| A7030 |
Cpap full face mask |
1,221 |
825 |
$37K |
| B4034 |
Enter feed supkit syr by day |
395 |
257 |
$30K |
| K0738 |
Portable gas oxygen system |
2,292 |
1,775 |
$27K |
| A7034 |
Nasal application device |
1,299 |
890 |
$26K |
| E1392 |
Portable oxygen concentrator |
3,261 |
2,731 |
$22K |
| E0570 |
Nebulizer with compression |
2,318 |
2,031 |
$18K |
| B4100 |
Food thickener oral |
456 |
350 |
$16K |
| A7000 |
Disposable canister for pump |
1,119 |
627 |
$15K |
| A7035 |
Pos airway press headgear |
2,055 |
1,378 |
$14K |
| A7031 |
Replacement facemask interfa |
991 |
645 |
$12K |
| A7037 |
Pos airway pressure tubing |
2,263 |
1,500 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
638 |
525 |
$10K |
| K0001 |
Standard wheelchair |
1,549 |
1,099 |
$9K |
| B4161 |
Ef ped hydrolyzed/amino acid |
20 |
13 |
$9K |
| A7038 |
Pos airway pressure filter |
3,562 |
2,373 |
$7K |
| A6550 |
Neg pres wound ther drsg set |
80 |
43 |
$5K |
| B9002 |
Enter nutr inf pump any type |
87 |
82 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
265 |
210 |
$5K |
| A7046 |
Repl water chamber, pap dev |
975 |
689 |
$5K |
| A7526 |
Tracheostomy tube collar |
32 |
26 |
$2K |
| A7032 |
Replacement nasal cushion |
130 |
92 |
$2K |
| E0562 |
Humidifier heated used w pap |
37 |
29 |
$2K |
| B4152 |
Ef calorie dense>/=1.5kcal |
23 |
13 |
$905.80 |
| B4088 |
Gastro/jejuno tube, low-pro |
34 |
24 |
$846.72 |
| E0424 |
Stationary compressed gas 02 |
13 |
13 |
$694.44 |
| E0630 |
Patient lift hydraulic |
56 |
42 |
$560.10 |
| A4604 |
Tubing with heating element |
28 |
25 |
$437.44 |
| A7005 |
Nondisposable nebulizer set |
92 |
60 |
$380.98 |
| E0600 |
Suction pump portab hom modl |
30 |
25 |
$376.80 |
| A7003 |
Nebulizer administration set |
438 |
332 |
$189.19 |
| E0156 |
Walker seat attachment |
22 |
12 |
$102.74 |
| A7039 |
Filter, non disposable w pap |
28 |
12 |
$25.36 |
| A7013 |
Disposable compressor filter |
50 |
40 |
$13.14 |