| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
16,560 |
15,294 |
$591K |
| E0431 |
Portable gaseous 02 |
5,777 |
5,307 |
$115K |
| A7038 |
Pos airway pressure filter |
851 |
759 |
$4K |
| E0601 |
Cont airway pressure device |
181 |
150 |
$3K |
| E0570 |
Nebulizer with compression |
983 |
915 |
$3K |
| Q0513 |
Disp fee inhal drugs/30 days |
168 |
146 |
$2K |
| J7605 |
Arformoterol non-comp unit |
14 |
12 |
$2K |
| A7003 |
Nebulizer administration set |
1,212 |
1,074 |
$1K |
| A7037 |
Pos airway pressure tubing |
42 |
37 |
$438.61 |
| A7035 |
Pos airway press headgear |
16 |
13 |
$165.95 |
| J7613 |
Albuterol non-comp unit |
33 |
28 |
$134.88 |
| E1392 |
Portable oxygen concentrator |
12 |
12 |
$54.52 |
| J7620 |
Albuterol ipratrop non-comp |
12 |
12 |
$27.49 |