| 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 |
9,932 |
8,633 |
$317K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
569 |
378 |
$164K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,210 |
505 |
$100K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,239 |
6,267 |
$54K |
| E1392 |
Portable oxygen concentrator, rental |
115 |
114 |
$2K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
40 |
36 |
$2K |
| E0570 |
Nebulizer, with compressor |
683 |
621 |
$2K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
31 |
26 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
94 |
54 |
$975.57 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
370 |
225 |
$901.67 |
| A7031 |
Face mask interface, replacement for full face mask, each |
50 |
29 |
$616.08 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
16 |
12 |
$153.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
565 |
501 |
$131.88 |
| K0001 |
Standard wheelchair |
25 |
25 |
$122.41 |
| E0601 |
Continuous positive airway pressure (cpap) device |
19 |
12 |
$102.06 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
25 |
15 |
$53.47 |