| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,546 |
19,953 |
$726K |
| B4035 |
Enteral feed supp pump per d |
1,822 |
1,543 |
$307K |
| E0431 |
Portable gaseous 02 |
10,177 |
9,328 |
$306K |
| E0466 |
Home vent non-invasive inter |
767 |
668 |
$178K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
942 |
902 |
$165K |
| E0483 |
Hi freq chest wall oscil sys |
693 |
511 |
$111K |
| B4161 |
Ef ped hydrolyzed/amino acid |
175 |
153 |
$65K |
| B9002 |
Enter nutr inf pump any type |
382 |
343 |
$50K |
| E0601 |
Cont airway pressure device |
696 |
616 |
$14K |
| A7038 |
Pos airway pressure filter |
2,554 |
2,345 |
$13K |
| E1392 |
Portable oxygen concentrator |
1,293 |
1,229 |
$10K |
| A7030 |
Cpap full face mask |
157 |
141 |
$10K |
| B4152 |
Ef calorie dense>/=1.5kcal |
61 |
48 |
$9K |
| A7031 |
Replacement facemask interfa |
312 |
277 |
$8K |
| B4034 |
Enter feed supkit syr by day |
107 |
92 |
$6K |
| E0570 |
Nebulizer with compression |
1,660 |
1,564 |
$4K |
| A7037 |
Pos airway pressure tubing |
257 |
237 |
$4K |
| E0562 |
Humidifier heated used w pap |
281 |
249 |
$3K |
| A7035 |
Pos airway press headgear |
209 |
194 |
$3K |
| A7046 |
Repl water chamber, pap dev |
136 |
131 |
$1K |
| A7003 |
Nebulizer administration set |
1,093 |
957 |
$791.76 |
| Q0513 |
Disp fee inhal drugs/30 days |
85 |
77 |
$528.90 |
| A7039 |
Filter, non disposable w pap |
27 |
26 |
$252.75 |
| J7626 |
Budesonide non-comp unit |
15 |
12 |
$233.12 |
| B9998 |
Enteral supp not otherwise c |
25 |
13 |
$26.98 |