| 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 |
30,166 |
29,762 |
$1.79M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,915 |
1,864 |
$726K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,537 |
8,455 |
$400K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,221 |
14,068 |
$179K |
| 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) |
1,221 |
1,201 |
$119K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,422 |
2,391 |
$115K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
9,578 |
9,504 |
$95K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,669 |
2,633 |
$69K |
| E0570 |
Nebulizer, with compressor |
5,722 |
5,672 |
$67K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,194 |
2,165 |
$55K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,970 |
5,852 |
$50K |
| A7035 |
Headgear used with positive airway pressure device |
3,231 |
3,184 |
$40K |
| A7037 |
Tubing used with positive airway pressure device |
2,165 |
2,143 |
$34K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,204 |
1,194 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
2,948 |
2,890 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,342 |
3,307 |
$16K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
796 |
788 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,109 |
2,072 |
$15K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
4,598 |
4,309 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
933 |
920 |
$5K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
17 |
16 |
$2K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
13 |
12 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
206 |
194 |
$1K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
27 |
25 |
$698.76 |
| A7036 |
Chinstrap used with positive airway pressure device |
39 |
39 |
$227.50 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
101 |
94 |
$199.57 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
43 |
42 |
$98.30 |
| A7015 |
Aerosol mask, used with dme nebulizer |
28 |
28 |
$18.04 |