| 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 |
21,797 |
20,059 |
$759K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,585 |
8,722 |
$258K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
397 |
329 |
$107K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,419 |
1,227 |
$28K |
| E1392 |
Portable oxygen concentrator, rental |
1,606 |
1,545 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,745 |
1,594 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
408 |
347 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
408 |
367 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
159 |
140 |
$4K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
15 |
12 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
79 |
69 |
$2K |
| E0570 |
Nebulizer, with compressor |
633 |
598 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
147 |
131 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
119 |
101 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
378 |
348 |
$429.54 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
12 |
$200.59 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
56 |
41 |
$100.94 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
20 |
17 |
$51.87 |
| K0001 |
Standard wheelchair |
14 |
12 |
$44.43 |