| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,761 |
16,475 |
$814K |
| E0430 |
Oxygen system gas portable |
2,055 |
1,347 |
$82K |
| E0431 |
Portable gaseous 02 |
6,616 |
5,704 |
$58K |
| E0466 |
Home vent non-invasive inter |
117 |
95 |
$17K |
| E0570 |
Nebulizer with compression |
2,639 |
2,159 |
$7K |
| E1392 |
Portable oxygen concentrator |
533 |
438 |
$6K |
| E0260 |
Hosp bed semi-electr w/ matt |
230 |
185 |
$4K |
| J7605 |
Arformoterol non-comp unit |
29 |
28 |
$3K |
| E0601 |
Cont airway pressure device |
283 |
180 |
$3K |
| A7003 |
Nebulizer administration set |
2,382 |
1,833 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
204 |
181 |
$1K |
| K0003 |
Lightweight wheelchair |
202 |
156 |
$1K |
| J7613 |
Albuterol non-comp unit |
181 |
158 |
$1K |
| E0443 |
Portable 02 contents, gas |
33 |
24 |
$575.58 |
| J7626 |
Budesonide non-comp unit |
48 |
43 |
$457.49 |
| A7038 |
Pos airway pressure filter |
325 |
204 |
$97.85 |
| Q0513 |
Disp fee inhal drugs/30 days |
205 |
187 |
$68.88 |
| E0562 |
Humidifier heated used w pap |
13 |
13 |
$50.66 |
| A7037 |
Pos airway pressure tubing |
19 |
12 |
$9.75 |
| A7013 |
Disposable compressor filter |
18 |
12 |
$0.00 |