| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
5,010 |
4,930 |
$514K |
| B4035 |
Enteral feed supp pump per d |
503 |
488 |
$117K |
| B9998 |
Enteral supp not otherwise c |
1,045 |
787 |
$89K |
| E0431 |
Portable gaseous 02 |
4,281 |
4,180 |
$81K |
| E0439 |
Stationary liquid 02 |
720 |
666 |
$63K |
| E0445 |
Oximeter non-invasive |
382 |
338 |
$37K |
| A4606 |
Oxygen probe used w oximeter |
1,362 |
347 |
$35K |
| A7000 |
Disposable canister for pump |
933 |
914 |
$21K |
| A4624 |
Tracheal suction tube |
133 |
128 |
$18K |
| A7002 |
Tubing used w suction pump |
785 |
765 |
$11K |
| T1999 |
Noc retail items andsupplies |
962 |
593 |
$8K |
| E0434 |
Portable liquid 02 |
309 |
302 |
$6K |
| A4322 |
Irrigation syringe |
556 |
529 |
$5K |
| A4628 |
Oropharyngeal suction cath |
862 |
834 |
$4K |
| A7003 |
Nebulizer administration set |
1,289 |
1,242 |
$4K |
| A6216 |
Non-sterile gauze<=16 sq in |
329 |
318 |
$927.46 |
| A7015 |
Aerosol mask used w nebulize |
326 |
309 |
$316.15 |
| A4216 |
Sterile water/saline, 10 ml |
13 |
12 |
$222.03 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$6.16 |