| 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 |
21,142 |
19,311 |
$640K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,119 |
1,933 |
$362K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,814 |
9,035 |
$65K |
| E1392 |
Portable oxygen concentrator, rental |
1,931 |
1,784 |
$14K |
| E0570 |
Nebulizer, with compressor |
4,063 |
3,716 |
$12K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
112 |
95 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,250 |
1,042 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
626 |
538 |
$7K |
| K0001 |
Standard wheelchair |
929 |
824 |
$6K |
| E0601 |
Continuous positive airway pressure (cpap) device |
723 |
643 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,066 |
934 |
$3K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
508 |
444 |
$3K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
163 |
147 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
307 |
290 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,399 |
2,025 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
991 |
871 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
256 |
213 |
$580.33 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
274 |
223 |
$491.25 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,642 |
1,449 |
$178.69 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
36 |
28 |
$136.88 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
92 |
81 |
$87.64 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
28 |
25 |
$26.62 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
21 |
12 |
$11.87 |