| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
14,239 |
11,274 |
$480K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,575 |
3,759 |
$37K |
| E0570 |
Nebulizer, with compressor |
2,172 |
1,803 |
$4K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
69 |
37 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,754 |
1,260 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
151 |
107 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
159 |
147 |
$761.61 |
| E1392 |
Portable oxygen concentrator, rental |
115 |
76 |
$579.54 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
69 |
65 |
$440.26 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
181 |
162 |
$433.68 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
75 |
54 |
$231.83 |
| E0601 |
Continuous positive airway pressure (cpap) device |
16 |
14 |
$175.36 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
139 |
120 |
$63.57 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$9.08 |