| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
14,412 |
13,525 |
$520K |
| E0431 |
Portable gaseous 02 |
7,017 |
6,673 |
$197K |
| E0466 |
Home vent non-invasive inter |
1,165 |
1,122 |
$188K |
| E0601 |
Cont airway pressure device |
1,202 |
1,093 |
$24K |
| A7038 |
Pos airway pressure filter |
3,574 |
3,296 |
$17K |
| K0738 |
Portable gas oxygen system |
232 |
221 |
$15K |
| J7605 |
Arformoterol non-comp unit |
69 |
58 |
$9K |
| A7034 |
Nasal application device |
276 |
260 |
$8K |
| A7035 |
Pos airway press headgear |
558 |
515 |
$7K |
| A7037 |
Pos airway pressure tubing |
430 |
403 |
$5K |
| E0562 |
Humidifier heated used w pap |
502 |
434 |
$5K |
| A7031 |
Replacement facemask interfa |
155 |
130 |
$4K |
| E0470 |
Rad w/o backup non-inv intfc |
58 |
52 |
$3K |
| E0570 |
Nebulizer with compression |
1,036 |
960 |
$3K |
| A7033 |
Replacement nasal pillows |
102 |
91 |
$2K |
| A7030 |
Cpap full face mask |
43 |
36 |
$2K |
| J7626 |
Budesonide non-comp unit |
80 |
70 |
$2K |
| A7046 |
Repl water chamber, pap dev |
235 |
216 |
$1K |
| A4604 |
Tubing with heating element |
163 |
142 |
$1K |
| Q0513 |
Disp fee inhal drugs/30 days |
148 |
128 |
$924.00 |
| A7003 |
Nebulizer administration set |
1,004 |
880 |
$896.81 |
| A7039 |
Filter, non disposable w pap |
77 |
72 |
$432.00 |
| J7613 |
Albuterol non-comp unit |
100 |
85 |
$81.88 |
| J7644 |
Ipratropium bromide non-comp |
13 |
12 |
$14.90 |