| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,797 |
20,059 |
$759K |
| E0431 |
Portable gaseous 02 |
9,585 |
8,722 |
$258K |
| E0466 |
Home vent non-invasive inter |
397 |
329 |
$107K |
| E0601 |
Cont airway pressure device |
1,419 |
1,227 |
$28K |
| E1392 |
Portable oxygen concentrator |
1,606 |
1,545 |
$15K |
| A7038 |
Pos airway pressure filter |
1,745 |
1,594 |
$8K |
| E0562 |
Humidifier heated used w pap |
408 |
347 |
$4K |
| A7037 |
Pos airway pressure tubing |
408 |
367 |
$4K |
| A7031 |
Replacement facemask interfa |
159 |
140 |
$4K |
| E0483 |
Hi freq chest wall oscil sys |
15 |
12 |
$3K |
| A7030 |
Cpap full face mask |
79 |
69 |
$2K |
| E0570 |
Nebulizer with compression |
633 |
598 |
$2K |
| A7035 |
Pos airway press headgear |
147 |
131 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
119 |
101 |
$1K |
| A7003 |
Nebulizer administration set |
378 |
348 |
$429.54 |
| A7046 |
Repl water chamber, pap dev |
14 |
12 |
$200.59 |
| J7613 |
Albuterol non-comp unit |
56 |
41 |
$100.94 |
| J7620 |
Albuterol ipratrop non-comp |
20 |
17 |
$51.87 |
| K0001 |
Standard wheelchair |
14 |
12 |
$44.43 |