| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
30,166 |
29,762 |
$1.79M |
| E0466 |
Home vent non-invasive inter |
1,915 |
1,864 |
$726K |
| E0601 |
Cont airway pressure device |
8,537 |
8,455 |
$400K |
| E0431 |
Portable gaseous 02 |
14,221 |
14,068 |
$179K |
| E0470 |
Rad w/o backup non-inv intfc |
1,221 |
1,201 |
$119K |
| A7030 |
Cpap full face mask |
2,422 |
2,391 |
$115K |
| E0562 |
Humidifier heated used w pap |
9,578 |
9,504 |
$95K |
| A7031 |
Replacement facemask interfa |
2,669 |
2,633 |
$69K |
| E0570 |
Nebulizer with compression |
5,722 |
5,672 |
$67K |
| A7034 |
Nasal application device |
2,194 |
2,165 |
$55K |
| A7038 |
Pos airway pressure filter |
5,970 |
5,852 |
$50K |
| A7035 |
Pos airway press headgear |
3,231 |
3,184 |
$40K |
| A7037 |
Pos airway pressure tubing |
2,165 |
2,143 |
$34K |
| A7032 |
Replacement nasal cushion |
1,204 |
1,194 |
$29K |
| E1392 |
Portable oxygen concentrator |
2,948 |
2,890 |
$18K |
| A7046 |
Repl water chamber, pap dev |
3,342 |
3,307 |
$16K |
| A7033 |
Replacement nasal pillows |
796 |
788 |
$16K |
| A4604 |
Tubing with heating element |
2,109 |
2,072 |
$15K |
| A7003 |
Nebulizer administration set |
4,598 |
4,309 |
$6K |
| A7005 |
Nondisposable nebulizer set |
933 |
920 |
$5K |
| J7605 |
Arformoterol non-comp unit |
17 |
16 |
$2K |
| B4035 |
Enteral feed supp pump per d |
13 |
12 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
206 |
194 |
$1K |
| J7626 |
Budesonide non-comp unit |
27 |
25 |
$698.76 |
| A7036 |
Pos airway press chinstrap |
39 |
39 |
$227.50 |
| J7613 |
Albuterol non-comp unit |
101 |
94 |
$199.57 |
| J7620 |
Albuterol ipratrop non-comp |
43 |
42 |
$98.30 |
| A7015 |
Aerosol mask used w nebulize |
28 |
28 |
$18.04 |