| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,589 |
1,258 |
$324K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,359 |
6,572 |
$180K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,580 |
4,023 |
$27K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
363 |
120 |
$19K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
530 |
472 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
74 |
66 |
$1K |
| E0570 |
Nebulizer, with compressor |
720 |
661 |
$1K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
27 |
13 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
280 |
251 |
$680.06 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
396 |
361 |
$150.69 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
12 |
$45.62 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
36 |
25 |
$25.87 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
15 |
12 |
$2.69 |