| 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 |
53,146 |
47,413 |
$2.13M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
5,933 |
5,026 |
$1.29M |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,952 |
3,473 |
$214K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25,770 |
24,260 |
$172K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,582 |
4,073 |
$148K |
| 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) |
1,518 |
1,033 |
$97K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,309 |
2,099 |
$68K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,525 |
2,314 |
$26K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,294 |
2,089 |
$22K |
| E0570 |
Nebulizer, with compressor |
6,655 |
6,139 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
2,989 |
2,860 |
$20K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,541 |
1,494 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,092 |
989 |
$14K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
80 |
68 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,892 |
1,727 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
2,675 |
2,429 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,379 |
3,956 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
572 |
515 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,118 |
1,044 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
280 |
251 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
236 |
125 |
$5K |
| K0001 |
Standard wheelchair |
738 |
680 |
$4K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
575 |
497 |
$3K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
514 |
445 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
100 |
94 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
4,206 |
3,645 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
705 |
649 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
658 |
580 |
$320.08 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
30 |
26 |
$299.46 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
135 |
117 |
$29.10 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$8.71 |