| 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 |
29,447 |
27,277 |
$1.15M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,152 |
10,232 |
$284K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,165 |
1,112 |
$202K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,816 |
1,677 |
$84K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,791 |
2,516 |
$62K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,059 |
1,865 |
$56K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,726 |
4,307 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
2,094 |
1,925 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,326 |
1,209 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,567 |
1,434 |
$17K |
| E0570 |
Nebulizer, with compressor |
3,147 |
2,882 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
369 |
306 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,014 |
935 |
$6K |
| 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) |
155 |
135 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
247 |
245 |
$3K |
| K0001 |
Standard wheelchair |
359 |
265 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
204 |
179 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
233 |
213 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,737 |
1,545 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
39 |
37 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
81 |
79 |
$602.07 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
27 |
24 |
$341.39 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
105 |
94 |
$309.53 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
69 |
61 |
$150.05 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
30 |
28 |
$120.06 |
| E1392 |
Portable oxygen concentrator, rental |
33 |
29 |
$107.78 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
12 |
$4.67 |