| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
21,607 |
19,614 |
$817K |
| E0431 |
Portable gaseous 02 |
10,577 |
9,644 |
$351K |
| E0466 |
Home vent non-invasive inter |
415 |
335 |
$118K |
| E0601 |
Cont airway pressure device |
2,784 |
2,552 |
$76K |
| A7030 |
Cpap full face mask |
759 |
671 |
$40K |
| A7031 |
Replacement facemask interfa |
1,054 |
920 |
$29K |
| A7038 |
Pos airway pressure filter |
4,894 |
4,439 |
$24K |
| E0562 |
Humidifier heated used w pap |
863 |
789 |
$21K |
| E0470 |
Rad w/o backup non-inv intfc |
242 |
217 |
$16K |
| A7035 |
Pos airway press headgear |
1,139 |
1,014 |
$16K |
| A7037 |
Pos airway pressure tubing |
968 |
868 |
$12K |
| A7034 |
Nasal application device |
303 |
272 |
$8K |
| E0570 |
Nebulizer with compression |
1,405 |
1,278 |
$7K |
| A7046 |
Repl water chamber, pap dev |
734 |
658 |
$5K |
| E1392 |
Portable oxygen concentrator |
737 |
654 |
$5K |
| A4604 |
Tubing with heating element |
428 |
373 |
$5K |
| E0443 |
Portable 02 contents, gas |
257 |
257 |
$3K |
| A7032 |
Replacement nasal cushion |
119 |
106 |
$2K |
| A7033 |
Replacement nasal pillows |
82 |
78 |
$1K |
| A7003 |
Nebulizer administration set |
1,269 |
1,133 |
$1K |
| Q0513 |
Disp fee inhal drugs/30 days |
66 |
49 |
$568.39 |
| A7039 |
Filter, non disposable w pap |
15 |
14 |
$152.76 |
| J7620 |
Albuterol ipratrop non-comp |
17 |
12 |
$27.37 |