| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
10,225 |
9,489 |
$348K |
| E0431 |
Portable gaseous 02 |
3,949 |
3,630 |
$129K |
| E0601 |
Cont airway pressure device |
387 |
320 |
$5K |
| E0570 |
Nebulizer with compression |
641 |
612 |
$3K |
| A7038 |
Pos airway pressure filter |
744 |
628 |
$3K |
| A7030 |
Cpap full face mask |
28 |
26 |
$1K |
| E0562 |
Humidifier heated used w pap |
277 |
230 |
$1K |
| A7031 |
Replacement facemask interfa |
40 |
38 |
$1K |
| A7037 |
Pos airway pressure tubing |
115 |
97 |
$887.10 |
| Q0513 |
Disp fee inhal drugs/30 days |
87 |
65 |
$844.96 |
| J7620 |
Albuterol ipratrop non-comp |
70 |
58 |
$292.56 |
| A7035 |
Pos airway press headgear |
13 |
12 |
$193.75 |
| A7003 |
Nebulizer administration set |
127 |
109 |
$92.87 |