| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,862 |
15,454 |
$856K |
| E0466 |
Home vent non-invasive inter |
3,217 |
2,323 |
$732K |
| E0445 |
Oximeter non-invasive |
2,007 |
1,252 |
$506K |
| E0465 |
Home vent invasive interface |
1,188 |
391 |
$496K |
| E0430 |
Oxygen system gas portable |
3,154 |
1,936 |
$123K |
| E0600 |
Suction pump portab hom modl |
2,850 |
1,974 |
$96K |
| J7605 |
Arformoterol non-comp unit |
442 |
407 |
$50K |
| E0431 |
Portable gaseous 02 |
5,239 |
4,218 |
$29K |
| E0601 |
Cont airway pressure device |
1,315 |
771 |
$29K |
| E1392 |
Portable oxygen concentrator |
1,539 |
1,210 |
$12K |
| A4483 |
Moisture exchanger |
60 |
49 |
$6K |
| J7606 |
Formoterol fumarate, inh |
48 |
43 |
$6K |
| E0443 |
Portable 02 contents, gas |
883 |
663 |
$6K |
| E0570 |
Nebulizer with compression |
2,159 |
1,701 |
$6K |
| A4624 |
Tracheal suction tube |
66 |
37 |
$4K |
| A7003 |
Nebulizer administration set |
3,492 |
2,474 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
320 |
284 |
$2K |
| Q0513 |
Disp fee inhal drugs/30 days |
388 |
334 |
$892.33 |
| J7626 |
Budesonide non-comp unit |
79 |
70 |
$850.93 |
| J7613 |
Albuterol non-comp unit |
149 |
136 |
$808.27 |
| A7005 |
Nondisposable nebulizer set |
326 |
212 |
$520.29 |
| A7046 |
Repl water chamber, pap dev |
73 |
53 |
$408.43 |
| A7030 |
Cpap full face mask |
44 |
33 |
$394.46 |
| A7038 |
Pos airway pressure filter |
833 |
586 |
$196.25 |
| E0562 |
Humidifier heated used w pap |
87 |
63 |
$176.11 |
| A4628 |
Oropharyngeal suction cath |
14 |
12 |
$141.00 |
| E0260 |
Hosp bed semi-electr w/ matt |
34 |
25 |
$121.78 |
| A7037 |
Pos airway pressure tubing |
138 |
87 |
$84.35 |
| A7031 |
Replacement facemask interfa |
19 |
13 |
$51.93 |
| A7035 |
Pos airway press headgear |
20 |
13 |
$16.38 |