| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,069 |
874 |
$482K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,117 |
4,978 |
$357K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,372 |
6,455 |
$227K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,346 |
1,872 |
$132K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
9,630 |
7,339 |
$86K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,454 |
1,857 |
$68K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,114 |
3,348 |
$46K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,668 |
1,330 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
3,256 |
2,561 |
$36K |
| E0570 |
Nebulizer, with compressor |
4,497 |
3,640 |
$30K |
| A7037 |
Tubing used with positive airway pressure device |
2,851 |
2,279 |
$29K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,776 |
1,348 |
$28K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,843 |
3,777 |
$19K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
160 |
122 |
$11K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
469 |
357 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
246 |
183 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
581 |
442 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,230 |
1,049 |
$2K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
147 |
124 |
$918.30 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,071 |
916 |
$270.32 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
15 |
14 |
$97.15 |
| A7036 |
Chinstrap used with positive airway pressure device |
14 |
13 |
$33.67 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
307 |
263 |
$0.00 |