| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
26,319 |
22,036 |
$1.12M |
| E0466 |
Home vent non-invasive inter |
2,273 |
1,800 |
$606K |
| E0601 |
Cont airway pressure device |
4,898 |
3,196 |
$111K |
| E0431 |
Portable gaseous 02 |
9,125 |
8,217 |
$98K |
| E0430 |
Oxygen system gas portable |
2,200 |
1,440 |
$90K |
| E0562 |
Humidifier heated used w pap |
1,211 |
1,074 |
$13K |
| E1392 |
Portable oxygen concentrator |
1,161 |
1,053 |
$11K |
| A7032 |
Replacement nasal cushion |
529 |
467 |
$10K |
| A7030 |
Cpap full face mask |
352 |
322 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
130 |
62 |
$8K |
| E0443 |
Portable 02 contents, gas |
578 |
551 |
$6K |
| A7031 |
Replacement facemask interfa |
418 |
390 |
$5K |
| A7034 |
Nasal application device |
858 |
743 |
$5K |
| E0570 |
Nebulizer with compression |
2,537 |
2,350 |
$5K |
| A7003 |
Nebulizer administration set |
2,269 |
1,915 |
$2K |
| A7037 |
Pos airway pressure tubing |
1,394 |
1,203 |
$2K |
| A7035 |
Pos airway press headgear |
857 |
747 |
$2K |
| A7038 |
Pos airway pressure filter |
2,358 |
2,016 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
144 |
127 |
$1K |
| A7046 |
Repl water chamber, pap dev |
287 |
263 |
$976.12 |
| J7613 |
Albuterol non-comp unit |
139 |
126 |
$867.16 |
| Q0513 |
Disp fee inhal drugs/30 days |
250 |
226 |
$799.59 |
| A7005 |
Nondisposable nebulizer set |
80 |
69 |
$235.09 |
| A4604 |
Tubing with heating element |
14 |
14 |
$176.45 |
| A7039 |
Filter, non disposable w pap |
30 |
26 |
$14.13 |