| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,239 |
11,274 |
$480K |
| E0431 |
Portable gaseous 02 |
4,575 |
3,759 |
$37K |
| E0570 |
Nebulizer with compression |
2,172 |
1,803 |
$4K |
| E0430 |
Oxygen system gas portable |
69 |
37 |
$3K |
| A7003 |
Nebulizer administration set |
1,754 |
1,260 |
$1K |
| E0443 |
Portable 02 contents, gas |
151 |
107 |
$1K |
| J7613 |
Albuterol non-comp unit |
159 |
147 |
$761.61 |
| E1392 |
Portable oxygen concentrator |
115 |
76 |
$579.54 |
| J7620 |
Albuterol ipratrop non-comp |
69 |
65 |
$440.26 |
| Q0513 |
Disp fee inhal drugs/30 days |
181 |
162 |
$433.68 |
| A7005 |
Nondisposable nebulizer set |
75 |
54 |
$231.83 |
| E0601 |
Cont airway pressure device |
16 |
14 |
$175.36 |
| A7038 |
Pos airway pressure filter |
139 |
120 |
$63.57 |
| A7035 |
Pos airway press headgear |
12 |
12 |
$9.08 |