| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,047 |
9,151 |
$273K |
| E0466 |
Home vent non-invasive inter |
525 |
463 |
$57K |
| E0431 |
Portable gaseous 02 |
5,394 |
4,905 |
$34K |
| E0601 |
Cont airway pressure device |
1,397 |
1,138 |
$9K |
| A7031 |
Replacement facemask interfa |
1,388 |
993 |
$4K |
| A7030 |
Cpap full face mask |
751 |
568 |
$3K |
| E0562 |
Humidifier heated used w pap |
1,017 |
818 |
$3K |
| A7037 |
Pos airway pressure tubing |
1,433 |
1,182 |
$2K |
| A7038 |
Pos airway pressure filter |
2,806 |
2,174 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
254 |
230 |
$1K |
| A7035 |
Pos airway press headgear |
637 |
491 |
$1K |
| A7032 |
Replacement nasal cushion |
264 |
199 |
$952.14 |
| J7626 |
Budesonide non-comp unit |
34 |
27 |
$826.25 |
| E0443 |
Portable 02 contents, gas |
131 |
130 |
$796.28 |
| E1392 |
Portable oxygen concentrator |
219 |
204 |
$678.82 |
| E0570 |
Nebulizer with compression |
244 |
237 |
$421.81 |
| A7046 |
Repl water chamber, pap dev |
360 |
275 |
$312.58 |
| A7034 |
Nasal application device |
59 |
50 |
$237.47 |
| A7003 |
Nebulizer administration set |
168 |
155 |
$2.28 |