| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,483 |
9,233 |
$293K |
| B4154 |
Ef spec metabolic noninherit |
1,777 |
1,696 |
$164K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,001 |
1,907 |
$105K |
| B4035 |
Enteral feed supp pump per d |
1,946 |
1,868 |
$102K |
| B4034 |
Enter feed supkit syr by day |
3,212 |
3,076 |
$93K |
| A7031 |
Replacement facemask interfa |
2,609 |
2,536 |
$77K |
| B4150 |
Ef complet w/intact nutrient |
1,216 |
1,171 |
$73K |
| A7030 |
Cpap full face mask |
1,973 |
1,951 |
$66K |
| E0601 |
Cont airway pressure device |
3,461 |
3,417 |
$52K |
| E0431 |
Portable gaseous 02 |
7,206 |
7,028 |
$48K |
| A7037 |
Pos airway pressure tubing |
3,174 |
3,102 |
$34K |
| A7032 |
Replacement nasal cushion |
1,120 |
1,075 |
$30K |
| E0562 |
Humidifier heated used w pap |
3,366 |
3,304 |
$26K |
| A7034 |
Nasal application device |
1,098 |
1,062 |
$22K |
| A7038 |
Pos airway pressure filter |
4,789 |
4,645 |
$14K |
| A7035 |
Pos airway press headgear |
1,889 |
1,831 |
$12K |
| B9002 |
Enter nutr inf pump any type |
452 |
440 |
$9K |
| E0570 |
Nebulizer with compression |
2,668 |
2,547 |
$2K |
| A7046 |
Repl water chamber, pap dev |
1,450 |
1,415 |
$2K |
| A4604 |
Tubing with heating element |
527 |
520 |
$2K |
| E0443 |
Portable 02 contents, gas |
284 |
284 |
$1K |
| E0470 |
Rad w/o backup non-inv intfc |
27 |
27 |
$801.10 |
| E0776 |
Iv pole |
286 |
273 |
$598.31 |
| A7033 |
Replacement nasal pillows |
25 |
25 |
$488.22 |
| E1392 |
Portable oxygen concentrator |
91 |
91 |
$261.07 |
| A7039 |
Filter, non disposable w pap |
122 |
121 |
$218.80 |
| A7003 |
Nebulizer administration set |
129 |
125 |
$102.85 |
| A7005 |
Nondisposable nebulizer set |
25 |
24 |
$83.72 |