| 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 |
26,713 |
24,650 |
$1.02M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,562 |
12,443 |
$365K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,080 |
970 |
$253K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,991 |
1,830 |
$106K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,275 |
3,893 |
$102K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,742 |
2,480 |
$79K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,363 |
2,140 |
$52K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,727 |
1,571 |
$47K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,308 |
5,753 |
$29K |
| A7037 |
Tubing used with positive airway pressure device |
2,756 |
2,489 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
1,955 |
1,788 |
$24K |
| E0570 |
Nebulizer, with compressor |
3,771 |
3,480 |
$19K |
| K0001 |
Standard wheelchair |
2,153 |
1,692 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,290 |
1,193 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
324 |
289 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
703 |
659 |
$5K |
| 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) |
112 |
90 |
$4K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
18 |
15 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
340 |
319 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
171 |
150 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,304 |
1,165 |
$1K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
129 |
111 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
78 |
77 |
$839.99 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
35 |
30 |
$815.22 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
25 |
$724.34 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
37 |
30 |
$82.49 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
27 |
$45.24 |