| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
9,932 |
8,633 |
$317K |
| E0466 |
Home vent non-invasive inter |
569 |
378 |
$164K |
| E0443 |
Portable 02 contents, gas |
1,210 |
505 |
$100K |
| E0431 |
Portable gaseous 02 |
7,239 |
6,267 |
$54K |
| E1392 |
Portable oxygen concentrator |
115 |
114 |
$2K |
| J7605 |
Arformoterol non-comp unit |
40 |
36 |
$2K |
| E0570 |
Nebulizer with compression |
683 |
621 |
$2K |
| J7626 |
Budesonide non-comp unit |
31 |
26 |
$1K |
| A7037 |
Pos airway pressure tubing |
94 |
54 |
$975.57 |
| A7038 |
Pos airway pressure filter |
370 |
225 |
$901.67 |
| A7031 |
Replacement facemask interfa |
50 |
29 |
$616.08 |
| J7620 |
Albuterol ipratrop non-comp |
16 |
12 |
$153.82 |
| A7003 |
Nebulizer administration set |
565 |
501 |
$131.88 |
| K0001 |
Standard wheelchair |
25 |
25 |
$122.41 |
| E0601 |
Cont airway pressure device |
19 |
12 |
$102.06 |
| E0562 |
Humidifier heated used w pap |
25 |
15 |
$53.47 |