| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
23,354 |
19,200 |
$869K |
| E0466 |
Home vent non-invasive inter |
1,725 |
1,312 |
$385K |
| E0430 |
Oxygen system gas portable |
3,091 |
2,130 |
$130K |
| E0601 |
Cont airway pressure device |
3,196 |
2,226 |
$70K |
| E0431 |
Portable gaseous 02 |
7,671 |
6,806 |
$64K |
| A7030 |
Cpap full face mask |
637 |
573 |
$25K |
| E0483 |
Hi freq chest wall oscil sys |
112 |
107 |
$22K |
| E0562 |
Humidifier heated used w pap |
698 |
642 |
$16K |
| E1392 |
Portable oxygen concentrator |
1,193 |
1,068 |
$9K |
| A7031 |
Replacement facemask interfa |
720 |
650 |
$5K |
| E0570 |
Nebulizer with compression |
2,831 |
2,498 |
$4K |
| A7046 |
Repl water chamber, pap dev |
387 |
358 |
$3K |
| J7620 |
Albuterol ipratrop non-comp |
492 |
436 |
$3K |
| A7032 |
Replacement nasal cushion |
66 |
61 |
$2K |
| A7037 |
Pos airway pressure tubing |
1,161 |
1,065 |
$2K |
| A7035 |
Pos airway press headgear |
530 |
492 |
$1K |
| A7003 |
Nebulizer administration set |
1,436 |
1,196 |
$1K |
| A7034 |
Nasal application device |
185 |
175 |
$956.56 |
| A7038 |
Pos airway pressure filter |
1,679 |
1,500 |
$779.32 |
| J7613 |
Albuterol non-comp unit |
52 |
47 |
$346.62 |
| A7005 |
Nondisposable nebulizer set |
59 |
53 |
$174.40 |
| Q0513 |
Disp fee inhal drugs/30 days |
175 |
156 |
$35.94 |
| A7039 |
Filter, non disposable w pap |
75 |
69 |
$18.56 |