| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
103,860 |
101,944 |
$8.78M |
| E0431 |
Portable gaseous 02 |
66,559 |
65,316 |
$1.16M |
| E0466 |
Home vent non-invasive inter |
905 |
899 |
$458K |
| A7031 |
Replacement facemask interfa |
11,615 |
11,526 |
$362K |
| S9342 |
Hit enteral pump diem |
663 |
590 |
$352K |
| E0601 |
Cont airway pressure device |
4,602 |
4,566 |
$313K |
| A7030 |
Cpap full face mask |
4,008 |
3,990 |
$264K |
| E1392 |
Portable oxygen concentrator |
2,428 |
2,384 |
$151K |
| A7035 |
Pos airway press headgear |
12,315 |
12,252 |
$148K |
| A7037 |
Pos airway pressure tubing |
14,092 |
14,038 |
$119K |
| A7038 |
Pos airway pressure filter |
45,886 |
45,603 |
$106K |
| E0570 |
Nebulizer with compression |
2,223 |
2,179 |
$103K |
| A7034 |
Nasal application device |
2,313 |
2,307 |
$77K |
| A7032 |
Replacement nasal cushion |
2,151 |
2,137 |
$65K |
| E0562 |
Humidifier heated used w pap |
4,087 |
4,062 |
$61K |
| A7033 |
Replacement nasal pillows |
978 |
976 |
$26K |
| B4152 |
Ef calorie dense>/=1.5kcal |
114 |
107 |
$20K |
| E0470 |
Rad w/o backup non-inv intfc |
193 |
193 |
$16K |
| B4161 |
Ef ped hydrolyzed/amino acid |
19 |
12 |
$13K |
| S9343 |
Hit enteral bolus nurs |
18 |
14 |
$11K |
| A7046 |
Repl water chamber, pap dev |
859 |
858 |
$6K |
| E0143 |
Walker folding wheeled w/o s |
40 |
40 |
$2K |
| A7005 |
Nondisposable nebulizer set |
171 |
171 |
$2K |
| A7003 |
Nebulizer administration set |
680 |
670 |
$2K |
| A7039 |
Filter, non disposable w pap |
126 |
125 |
$234.77 |
| A7015 |
Aerosol mask used w nebulize |
55 |
55 |
$37.72 |
| A7013 |
Disposable compressor filter |
96 |
96 |
$9.28 |