| 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 |
18,937 |
18,283 |
$956K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,560 |
1,467 |
$410K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,644 |
1,612 |
$117K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,425 |
3,355 |
$99K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,671 |
8,329 |
$82K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,130 |
2,073 |
$70K |
| E1392 |
Portable oxygen concentrator, rental |
3,917 |
3,788 |
$53K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,991 |
1,945 |
$49K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
931 |
921 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,847 |
2,773 |
$33K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
502 |
492 |
$28K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
626 |
615 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,535 |
1,494 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,274 |
5,147 |
$21K |
| E0570 |
Nebulizer, with compressor |
3,242 |
3,139 |
$16K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
343 |
314 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
880 |
866 |
$8K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
139 |
136 |
$3K |
| K0001 |
Standard wheelchair |
190 |
187 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
406 |
387 |
$3K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
353 |
324 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
100 |
98 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
729 |
676 |
$931.52 |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
53 |
53 |
$921.50 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
1,053 |
937 |
$749.79 |