| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
485 |
471 |
$44K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
230 |
222 |
$41K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
220 |
216 |
$20K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
38 |
38 |
$8K |
| A6237 |
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
196 |
183 |
$6K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
196 |
184 |
$1K |
| B9002 |
Enteral nutrition infusion pump, any type |
12 |
12 |
$956.16 |