| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,401 |
8,288 |
$540K |
| A7031 |
Replacement facemask interfa |
2,046 |
1,849 |
$93K |
| E0431 |
Portable gaseous 02 |
6,714 |
5,634 |
$86K |
| A7030 |
Cpap full face mask |
922 |
823 |
$74K |
| E0601 |
Cont airway pressure device |
873 |
782 |
$36K |
| E0562 |
Humidifier heated used w pap |
1,182 |
1,036 |
$21K |
| A7037 |
Pos airway pressure tubing |
1,397 |
1,224 |
$20K |
| A7038 |
Pos airway pressure filter |
3,325 |
2,928 |
$15K |
| E0570 |
Nebulizer with compression |
2,155 |
1,827 |
$10K |
| A7035 |
Pos airway press headgear |
725 |
619 |
$10K |
| A7032 |
Replacement nasal cushion |
159 |
124 |
$6K |
| Q0513 |
Disp fee inhal drugs/30 days |
268 |
222 |
$3K |
| A7046 |
Repl water chamber, pap dev |
245 |
217 |
$2K |
| A7034 |
Nasal application device |
55 |
48 |
$2K |
| A7003 |
Nebulizer administration set |
235 |
185 |
$192.91 |
| J7620 |
Albuterol ipratrop non-comp |
31 |
27 |
$14.96 |