| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,814 |
9,070 |
$225K |
| E0466 |
Home vent non-invasive inter |
1,396 |
1,216 |
$220K |
| E0431 |
Portable gaseous 02 |
3,792 |
3,506 |
$27K |
| J7605 |
Arformoterol non-comp unit |
216 |
188 |
$10K |
| E0443 |
Portable 02 contents, gas |
142 |
51 |
$8K |
| E0570 |
Nebulizer with compression |
1,144 |
1,053 |
$3K |
| J7626 |
Budesonide non-comp unit |
76 |
66 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
66 |
54 |
$1K |
| J7613 |
Albuterol non-comp unit |
308 |
280 |
$950.87 |
| J7620 |
Albuterol ipratrop non-comp |
246 |
213 |
$685.30 |
| E0601 |
Cont airway pressure device |
67 |
65 |
$554.34 |
| A7003 |
Nebulizer administration set |
1,069 |
977 |
$372.39 |