| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
31,800 |
27,108 |
$2.04M |
| J7606 |
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms |
11,350 |
9,809 |
$871K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
37,722 |
32,356 |
$453K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
154,756 |
134,232 |
$423K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
72,574 |
62,063 |
$305K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
81,326 |
69,928 |
$275K |
| G0333 |
Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary |
5,479 |
4,945 |
$34K |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
12,896 |
11,034 |
$20K |
| J7677 |
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram |
371 |
60 |
$5K |
| J7699 |
Noc drugs, inhalation solution administered through dme |
21 |
19 |
$2K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
102 |
90 |
$1K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
43 |
43 |
$703.58 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
270 |
268 |
$3.13 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
822 |
765 |
$1.22 |
| A7015 |
Aerosol mask, used with dme nebulizer |
365 |
351 |
$0.00 |
| E0570 |
Nebulizer, with compressor |
459 |
451 |
$0.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
41 |
39 |
$0.00 |