| 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 |
20,761 |
16,475 |
$814K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,055 |
1,347 |
$82K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,616 |
5,704 |
$58K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
117 |
95 |
$17K |
| E0570 |
Nebulizer, with compressor |
2,639 |
2,159 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
533 |
438 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
230 |
185 |
$4K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
29 |
28 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
283 |
180 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,382 |
1,833 |
$2K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
204 |
181 |
$1K |
| K0003 |
Lightweight wheelchair |
202 |
156 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
181 |
158 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
33 |
24 |
$575.58 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
48 |
43 |
$457.49 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
325 |
204 |
$97.85 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
205 |
187 |
$68.88 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13 |
13 |
$50.66 |
| A7037 |
Tubing used with positive airway pressure device |
19 |
12 |
$9.75 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
18 |
12 |
$0.00 |