| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
35,867 |
33,967 |
$2.76M |
| E0466 |
Home vent non-invasive inter |
996 |
956 |
$364K |
| E0431 |
Portable gaseous 02 |
18,398 |
17,291 |
$299K |
| B4152 |
Ef calorie dense>/=1.5kcal |
632 |
560 |
$101K |
| E1392 |
Portable oxygen concentrator |
5,938 |
5,740 |
$72K |
| B4035 |
Enteral feed supp pump per d |
304 |
234 |
$66K |
| E0601 |
Cont airway pressure device |
2,099 |
2,028 |
$64K |
| A7030 |
Cpap full face mask |
1,400 |
1,366 |
$56K |
| A7034 |
Nasal application device |
1,487 |
1,462 |
$36K |
| E0570 |
Nebulizer with compression |
7,574 |
7,533 |
$34K |
| A7031 |
Replacement facemask interfa |
1,457 |
1,419 |
$31K |
| A7032 |
Replacement nasal cushion |
907 |
873 |
$29K |
| A4604 |
Tubing with heating element |
1,560 |
1,520 |
$25K |
| E0562 |
Humidifier heated used w pap |
1,742 |
1,666 |
$23K |
| A7038 |
Pos airway pressure filter |
4,764 |
4,587 |
$19K |
| A7035 |
Pos airway press headgear |
1,778 |
1,737 |
$18K |
| A7033 |
Replacement nasal pillows |
496 |
488 |
$12K |
| A7037 |
Pos airway pressure tubing |
1,374 |
1,358 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,622 |
1,596 |
$9K |
| B4150 |
Ef complet w/intact nutrient |
61 |
49 |
$9K |
| E0443 |
Portable 02 contents, gas |
315 |
302 |
$7K |
| A7005 |
Nondisposable nebulizer set |
984 |
954 |
$7K |
| B9002 |
Enter nutr inf pump any type |
76 |
51 |
$5K |
| E0444 |
Portable 02 contents, liquid |
201 |
167 |
$4K |
| E0442 |
Stationary o2 contents, liq |
162 |
162 |
$3K |
| A7003 |
Nebulizer administration set |
3,212 |
3,040 |
$3K |
| K0001 |
Standard wheelchair |
74 |
69 |
$848.00 |
| E0600 |
Suction pump portab hom modl |
78 |
77 |
$819.31 |
| A7039 |
Filter, non disposable w pap |
222 |
221 |
$520.07 |
| A7015 |
Aerosol mask used w nebulize |
706 |
666 |
$448.76 |
| E0776 |
Iv pole |
67 |
51 |
$422.96 |
| E0260 |
Hosp bed semi-electr w/ matt |
13 |
13 |
$399.20 |
| A7013 |
Disposable compressor filter |
320 |
313 |
$96.86 |