| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,725 |
7,854 |
$343K |
| E0466 |
Home vent non-invasive inter |
467 |
316 |
$104K |
| E0431 |
Portable gaseous 02 |
3,906 |
3,344 |
$31K |
| B4035 |
Enteral feed supp pump per d |
221 |
122 |
$12K |
| E0430 |
Oxygen system gas portable |
219 |
139 |
$9K |
| B9998 |
Enteral supp not otherwise c |
484 |
400 |
$8K |
| E0601 |
Cont airway pressure device |
367 |
281 |
$7K |
| E0570 |
Nebulizer with compression |
934 |
758 |
$2K |
| E0562 |
Humidifier heated used w pap |
177 |
112 |
$510.56 |
| K0001 |
Standard wheelchair |
46 |
42 |
$259.71 |
| E1392 |
Portable oxygen concentrator |
39 |
37 |
$252.48 |
| A7038 |
Pos airway pressure filter |
288 |
226 |
$175.39 |