| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,069 |
874 |
$482K |
| E1390 |
Oxygen concentrator |
6,117 |
4,978 |
$357K |
| E0601 |
Cont airway pressure device |
8,372 |
6,455 |
$227K |
| A7030 |
Cpap full face mask |
2,346 |
1,872 |
$132K |
| E0562 |
Humidifier heated used w pap |
9,630 |
7,339 |
$86K |
| A7034 |
Nasal application device |
2,454 |
1,857 |
$68K |
| E0431 |
Portable gaseous 02 |
4,114 |
3,348 |
$46K |
| A7031 |
Replacement facemask interfa |
1,668 |
1,330 |
$40K |
| A7035 |
Pos airway press headgear |
3,256 |
2,561 |
$36K |
| E0570 |
Nebulizer with compression |
4,497 |
3,640 |
$30K |
| A7037 |
Pos airway pressure tubing |
2,851 |
2,279 |
$29K |
| A4604 |
Tubing with heating element |
1,776 |
1,348 |
$28K |
| A7038 |
Pos airway pressure filter |
4,843 |
3,777 |
$19K |
| E0470 |
Rad w/o backup non-inv intfc |
160 |
122 |
$11K |
| A7033 |
Replacement nasal pillows |
469 |
357 |
$8K |
| A7032 |
Replacement nasal cushion |
246 |
183 |
$4K |
| A7046 |
Repl water chamber, pap dev |
581 |
442 |
$2K |
| A7003 |
Nebulizer administration set |
1,230 |
1,049 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
147 |
124 |
$918.30 |
| A7013 |
Disposable compressor filter |
1,071 |
916 |
$270.32 |
| A7039 |
Filter, non disposable w pap |
15 |
14 |
$97.15 |
| A7036 |
Pos airway press chinstrap |
14 |
13 |
$33.67 |
| Q0513 |
Disp fee inhal drugs/30 days |
307 |
263 |
$0.00 |