| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
12,442 |
10,015 |
$488K |
| E0601 |
Cont airway pressure device |
2,128 |
1,302 |
$55K |
| E0431 |
Portable gaseous 02 |
4,664 |
3,972 |
$47K |
| E0430 |
Oxygen system gas portable |
327 |
224 |
$15K |
| E0466 |
Home vent non-invasive inter |
88 |
79 |
$15K |
| E0570 |
Nebulizer with compression |
1,501 |
1,298 |
$9K |
| E1392 |
Portable oxygen concentrator |
162 |
149 |
$2K |
| E0562 |
Humidifier heated used w pap |
199 |
156 |
$2K |
| A4604 |
Tubing with heating element |
31 |
27 |
$1K |
| A7003 |
Nebulizer administration set |
904 |
646 |
$667.37 |
| A7038 |
Pos airway pressure filter |
1,088 |
848 |
$574.54 |
| J7620 |
Albuterol ipratrop non-comp |
50 |
43 |
$408.30 |
| J7613 |
Albuterol non-comp unit |
32 |
28 |
$238.16 |
| Q0513 |
Disp fee inhal drugs/30 days |
99 |
84 |
$159.96 |
| A7046 |
Repl water chamber, pap dev |
13 |
12 |
$137.65 |
| A7034 |
Nasal application device |
19 |
12 |
$111.65 |
| J7626 |
Budesonide non-comp unit |
32 |
26 |
$98.97 |
| A7035 |
Pos airway press headgear |
69 |
49 |
$59.75 |