| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
18,937 |
18,283 |
$956K |
| E0466 |
Home vent non-invasive inter |
1,560 |
1,467 |
$410K |
| A7030 |
Cpap full face mask |
1,644 |
1,612 |
$117K |
| A7031 |
Replacement facemask interfa |
3,425 |
3,355 |
$99K |
| E0431 |
Portable gaseous 02 |
8,671 |
8,329 |
$82K |
| E0601 |
Cont airway pressure device |
2,130 |
2,073 |
$70K |
| E1392 |
Portable oxygen concentrator |
3,917 |
3,788 |
$53K |
| A4604 |
Tubing with heating element |
1,991 |
1,945 |
$49K |
| A7032 |
Replacement nasal cushion |
931 |
921 |
$38K |
| E0562 |
Humidifier heated used w pap |
2,847 |
2,773 |
$33K |
| A7034 |
Nasal application device |
502 |
492 |
$28K |
| E0443 |
Portable 02 contents, gas |
626 |
615 |
$24K |
| A7035 |
Pos airway press headgear |
1,535 |
1,494 |
$22K |
| A7038 |
Pos airway pressure filter |
5,274 |
5,147 |
$21K |
| E0570 |
Nebulizer with compression |
3,242 |
3,139 |
$16K |
| J7605 |
Arformoterol non-comp unit |
343 |
314 |
$15K |
| A7046 |
Repl water chamber, pap dev |
880 |
866 |
$8K |
| A7033 |
Replacement nasal pillows |
139 |
136 |
$3K |
| K0001 |
Standard wheelchair |
190 |
187 |
$3K |
| A7005 |
Nondisposable nebulizer set |
406 |
387 |
$3K |
| J7626 |
Budesonide non-comp unit |
353 |
324 |
$2K |
| A7037 |
Pos airway pressure tubing |
100 |
98 |
$1K |
| A7003 |
Nebulizer administration set |
729 |
676 |
$931.52 |
| E0442 |
Stationary o2 contents, liq |
53 |
53 |
$921.50 |
| Q0513 |
Disp fee inhal drugs/30 days |
1,053 |
937 |
$749.79 |