| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,374 |
5,692 |
$165K |
| E0466 |
Home vent non-invasive inter |
209 |
168 |
$30K |
| E0431 |
Portable gaseous 02 |
4,054 |
3,609 |
$24K |
| J7605 |
Arformoterol non-comp unit |
128 |
101 |
$5K |
| A7037 |
Pos airway pressure tubing |
419 |
241 |
$5K |
| A7031 |
Replacement facemask interfa |
187 |
112 |
$4K |
| J7626 |
Budesonide non-comp unit |
78 |
67 |
$3K |
| E0443 |
Portable 02 contents, gas |
265 |
193 |
$3K |
| A7038 |
Pos airway pressure filter |
511 |
300 |
$2K |
| E0570 |
Nebulizer with compression |
781 |
693 |
$1K |
| E0562 |
Humidifier heated used w pap |
47 |
25 |
$760.72 |
| E1392 |
Portable oxygen concentrator |
151 |
121 |
$726.33 |
| J7620 |
Albuterol ipratrop non-comp |
236 |
203 |
$721.29 |
| Q0513 |
Disp fee inhal drugs/30 days |
30 |
23 |
$479.16 |
| J7613 |
Albuterol non-comp unit |
99 |
81 |
$294.49 |
| A7003 |
Nebulizer administration set |
655 |
565 |
$148.11 |
| A7005 |
Nondisposable nebulizer set |
15 |
14 |
$43.07 |