| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
15,026 |
14,833 |
$736K |
| E0601 |
Cont airway pressure device |
5,469 |
5,334 |
$225K |
| E0466 |
Home vent non-invasive inter |
510 |
507 |
$181K |
| E0431 |
Portable gaseous 02 |
7,223 |
7,126 |
$82K |
| B4035 |
Enteral feed supp pump per d |
492 |
414 |
$73K |
| A7030 |
Cpap full face mask |
1,928 |
1,910 |
$73K |
| A7031 |
Replacement facemask interfa |
2,463 |
2,440 |
$54K |
| E0562 |
Humidifier heated used w pap |
6,116 |
5,987 |
$54K |
| E0570 |
Nebulizer with compression |
6,725 |
6,520 |
$40K |
| E0470 |
Rad w/o backup non-inv intfc |
477 |
477 |
$38K |
| A7034 |
Nasal application device |
1,357 |
1,336 |
$30K |
| A7038 |
Pos airway pressure filter |
4,634 |
4,555 |
$26K |
| A7037 |
Pos airway pressure tubing |
2,867 |
2,836 |
$24K |
| A7035 |
Pos airway press headgear |
2,239 |
2,211 |
$23K |
| A7032 |
Replacement nasal cushion |
779 |
760 |
$18K |
| B4152 |
Ef calorie dense>/=1.5kcal |
153 |
135 |
$18K |
| A7046 |
Repl water chamber, pap dev |
2,172 |
2,153 |
$8K |
| E1392 |
Portable oxygen concentrator |
1,209 |
1,172 |
$7K |
| A7033 |
Replacement nasal pillows |
341 |
337 |
$6K |
| A7005 |
Nondisposable nebulizer set |
505 |
497 |
$3K |
| A7003 |
Nebulizer administration set |
2,682 |
2,534 |
$3K |
| B9002 |
Enter nutr inf pump any type |
44 |
41 |
$2K |
| B4034 |
Enter feed supkit syr by day |
14 |
12 |
$580.10 |
| Q0513 |
Disp fee inhal drugs/30 days |
42 |
39 |
$521.40 |
| A4604 |
Tubing with heating element |
45 |
45 |
$276.35 |
| A7015 |
Aerosol mask used w nebulize |
309 |
298 |
$188.01 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
14 |
$88.48 |
| J7613 |
Albuterol non-comp unit |
16 |
15 |
$84.67 |
| A7013 |
Disposable compressor filter |
40 |
39 |
$5.96 |