| 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 |
9,401 |
8,288 |
$540K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,046 |
1,849 |
$93K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,714 |
5,634 |
$86K |
| A7030 |
Full face mask used with positive airway pressure device, each |
922 |
823 |
$74K |
| E0601 |
Continuous positive airway pressure (cpap) device |
873 |
782 |
$36K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,182 |
1,036 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
1,397 |
1,224 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,325 |
2,928 |
$15K |
| E0570 |
Nebulizer, with compressor |
2,155 |
1,827 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
725 |
619 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
159 |
124 |
$6K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
268 |
222 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
245 |
217 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
55 |
48 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
235 |
185 |
$192.91 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
31 |
27 |
$14.96 |