| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,142 |
19,311 |
$640K |
| E0466 |
Home vent non-invasive inter |
2,119 |
1,933 |
$362K |
| E0431 |
Portable gaseous 02 |
9,814 |
9,035 |
$65K |
| E1392 |
Portable oxygen concentrator |
1,931 |
1,784 |
$14K |
| E0570 |
Nebulizer with compression |
4,063 |
3,716 |
$12K |
| J7605 |
Arformoterol non-comp unit |
112 |
95 |
$9K |
| A7031 |
Replacement facemask interfa |
1,250 |
1,042 |
$7K |
| A7030 |
Cpap full face mask |
626 |
538 |
$7K |
| K0001 |
Standard wheelchair |
929 |
824 |
$6K |
| E0601 |
Cont airway pressure device |
723 |
643 |
$6K |
| E0562 |
Humidifier heated used w pap |
1,066 |
934 |
$3K |
| Q0513 |
Disp fee inhal drugs/30 days |
508 |
444 |
$3K |
| J7626 |
Budesonide non-comp unit |
163 |
147 |
$3K |
| E0443 |
Portable 02 contents, gas |
307 |
290 |
$3K |
| A7038 |
Pos airway pressure filter |
2,399 |
2,025 |
$2K |
| A7037 |
Pos airway pressure tubing |
991 |
871 |
$2K |
| A7035 |
Pos airway press headgear |
256 |
213 |
$580.33 |
| J7613 |
Albuterol non-comp unit |
274 |
223 |
$491.25 |
| A7003 |
Nebulizer administration set |
1,642 |
1,449 |
$178.69 |
| J7620 |
Albuterol ipratrop non-comp |
36 |
28 |
$136.88 |
| A7046 |
Repl water chamber, pap dev |
92 |
81 |
$87.64 |
| A7005 |
Nondisposable nebulizer set |
28 |
25 |
$26.62 |
| A7032 |
Replacement nasal cushion |
21 |
12 |
$11.87 |