| 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 |
13,111 |
11,978 |
$435K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,177 |
5,535 |
$122K |
| E0570 |
Nebulizer, with compressor |
1,313 |
1,180 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
334 |
258 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
354 |
271 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
108 |
79 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
456 |
374 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
31 |
25 |
$1K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
113 |
99 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
860 |
725 |
$747.99 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
61 |
54 |
$301.83 |
| A7035 |
Headgear used with positive airway pressure device |
17 |
13 |
$165.75 |
| A7037 |
Tubing used with positive airway pressure device |
16 |
13 |
$123.38 |