| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,163 |
9,183 |
$560K |
| B4035 |
Enteral feed supp pump per d |
2,104 |
1,752 |
$241K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
906 |
827 |
$143K |
| E0431 |
Portable gaseous 02 |
6,106 |
5,578 |
$135K |
| A7031 |
Replacement facemask interfa |
1,403 |
1,348 |
$62K |
| B9998 |
Enteral supp not otherwise c |
667 |
590 |
$45K |
| A7038 |
Pos airway pressure filter |
2,994 |
2,782 |
$37K |
| B4152 |
Ef calorie dense>/=1.5kcal |
371 |
322 |
$30K |
| E0601 |
Cont airway pressure device |
760 |
696 |
$25K |
| A7030 |
Cpap full face mask |
249 |
231 |
$22K |
| E0562 |
Humidifier heated used w pap |
631 |
603 |
$11K |
| E0570 |
Nebulizer with compression |
3,119 |
2,653 |
$11K |
| B4150 |
Ef complet w/intact nutrient |
123 |
106 |
$8K |
| A7032 |
Replacement nasal cushion |
139 |
137 |
$7K |
| A4604 |
Tubing with heating element |
134 |
128 |
$6K |
| B9002 |
Enter nutr inf pump any type |
121 |
107 |
$5K |
| A7035 |
Pos airway press headgear |
209 |
198 |
$4K |
| K0738 |
Portable gas oxygen system |
170 |
169 |
$4K |
| A7037 |
Pos airway pressure tubing |
140 |
132 |
$3K |
| A7034 |
Nasal application device |
42 |
42 |
$2K |
| A7046 |
Repl water chamber, pap dev |
88 |
84 |
$1K |
| E1392 |
Portable oxygen concentrator |
59 |
55 |
$897.39 |
| B4034 |
Enter feed supkit syr by day |
13 |
13 |
$873.50 |
| B4088 |
Gastro/jejuno tube, low-pro |
13 |
12 |
$395.11 |
| E0776 |
Iv pole |
27 |
26 |
$267.02 |
| A7003 |
Nebulizer administration set |
136 |
102 |
$156.36 |