| 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 |
4,029 |
3,732 |
$99K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,243 |
2,123 |
$30K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
420 |
401 |
$18K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,168 |
1,098 |
$16K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,049 |
994 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
797 |
756 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,883 |
2,650 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,280 |
1,226 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
226 |
204 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
612 |
582 |
$3K |
| E0570 |
Nebulizer, with compressor |
1,549 |
1,451 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
790 |
750 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
119 |
110 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
176 |
170 |
$1K |
| K0001 |
Standard wheelchair |
24 |
24 |
$316.31 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
13 |
$228.57 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
150 |
141 |
$63.51 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
81 |
70 |
$0.00 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
47 |
40 |
$0.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
201 |
176 |
$0.00 |
| E1392 |
Portable oxygen concentrator, rental |
12 |
12 |
$0.00 |
| J7606 |
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms |
27 |
24 |
$0.00 |