| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7605 |
Arformoterol non-comp unit |
31,800 |
27,108 |
$2.04M |
| J7606 |
Formoterol fumarate, inh |
11,350 |
9,809 |
$871K |
| J7626 |
Budesonide non-comp unit |
37,722 |
32,356 |
$453K |
| Q0513 |
Disp fee inhal drugs/30 days |
154,756 |
134,232 |
$423K |
| J7620 |
Albuterol ipratrop non-comp |
72,574 |
62,063 |
$305K |
| J7613 |
Albuterol non-comp unit |
81,326 |
69,928 |
$275K |
| G0333 |
Dispense fee initial 30 day |
5,479 |
4,945 |
$34K |
| J7644 |
Ipratropium bromide non-comp |
12,896 |
11,034 |
$20K |
| J7677 |
Revefenacin inh non-com 1mcg |
371 |
60 |
$5K |
| J7699 |
Inhalation solution for dme |
21 |
19 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
102 |
90 |
$1K |
| E1390 |
Oxygen concentrator |
43 |
43 |
$703.58 |
| A7005 |
Nondisposable nebulizer set |
270 |
268 |
$3.13 |
| A7003 |
Nebulizer administration set |
822 |
765 |
$1.22 |
| A7015 |
Aerosol mask used w nebulize |
365 |
351 |
$0.00 |
| E0570 |
Nebulizer with compression |
459 |
451 |
$0.00 |
| A7013 |
Disposable compressor filter |
41 |
39 |
$0.00 |