| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,034 |
8,160 |
$319K |
| E0466 |
Home vent non-invasive inter |
1,100 |
1,032 |
$162K |
| E0431 |
Portable gaseous 02 |
3,928 |
3,227 |
$30K |
| E0601 |
Cont airway pressure device |
1,175 |
783 |
$21K |
| E0570 |
Nebulizer with compression |
1,478 |
1,220 |
$3K |
| E1392 |
Portable oxygen concentrator |
257 |
243 |
$1K |
| E0562 |
Humidifier heated used w pap |
62 |
51 |
$1K |
| J7620 |
Albuterol ipratrop non-comp |
88 |
75 |
$643.27 |
| A7003 |
Nebulizer administration set |
351 |
320 |
$295.30 |
| J7613 |
Albuterol non-comp unit |
14 |
14 |
$112.66 |
| Q0513 |
Disp fee inhal drugs/30 days |
134 |
124 |
$92.93 |
| A7037 |
Pos airway pressure tubing |
70 |
50 |
$90.28 |
| A7038 |
Pos airway pressure filter |
175 |
135 |
$89.91 |