| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
46,635 |
36,269 |
$1.91M |
| E0466 |
Home vent non-invasive inter |
2,476 |
1,780 |
$783K |
| B4035 |
Enteral feed supp pump per d |
5,284 |
4,467 |
$345K |
| E0431 |
Portable gaseous 02 |
28,125 |
21,868 |
$229K |
| B4150 |
Ef complet w/intact nutrient |
2,103 |
1,702 |
$140K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,785 |
1,545 |
$139K |
| B4154 |
Ef spec metabolic noninherit |
819 |
710 |
$136K |
| A7030 |
Cpap full face mask |
2,457 |
1,938 |
$112K |
| E0601 |
Cont airway pressure device |
2,375 |
1,934 |
$111K |
| A7031 |
Replacement facemask interfa |
3,124 |
2,590 |
$73K |
| A7034 |
Nasal application device |
1,878 |
1,547 |
$65K |
| E1392 |
Portable oxygen concentrator |
5,367 |
4,052 |
$53K |
| A7038 |
Pos airway pressure filter |
9,164 |
8,257 |
$45K |
| A7035 |
Pos airway press headgear |
3,228 |
2,702 |
$45K |
| A4604 |
Tubing with heating element |
2,140 |
1,733 |
$43K |
| E0562 |
Humidifier heated used w pap |
1,625 |
1,249 |
$41K |
| E0570 |
Nebulizer with compression |
6,511 |
4,390 |
$38K |
| B9002 |
Enter nutr inf pump any type |
788 |
776 |
$34K |
| A7037 |
Pos airway pressure tubing |
2,344 |
1,894 |
$26K |
| B4153 |
Ef hydrolyzed/amino acids |
157 |
122 |
$25K |
| A7046 |
Repl water chamber, pap dev |
2,674 |
2,244 |
$19K |
| A7032 |
Replacement nasal cushion |
986 |
829 |
$18K |
| A7033 |
Replacement nasal pillows |
511 |
448 |
$8K |
| B4155 |
Ef incomplete/modular |
962 |
771 |
$8K |
| A7005 |
Nondisposable nebulizer set |
754 |
580 |
$7K |
| J7613 |
Albuterol non-comp unit |
608 |
551 |
$6K |
| E0443 |
Portable 02 contents, gas |
1,112 |
653 |
$5K |
| A7003 |
Nebulizer administration set |
3,395 |
2,383 |
$4K |
| A7039 |
Filter, non disposable w pap |
495 |
421 |
$3K |
| E0776 |
Iv pole |
853 |
852 |
$2K |
| B4087 |
Gastro/jejuno tube, std |
207 |
207 |
$1K |
| J7620 |
Albuterol ipratrop non-comp |
76 |
66 |
$1K |
| B4088 |
Gastro/jejuno tube, low-pro |
120 |
120 |
$876.80 |
| A7015 |
Aerosol mask used w nebulize |
20 |
12 |
$16.48 |