| 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 |
6,374 |
5,692 |
$165K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
209 |
168 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,054 |
3,609 |
$24K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
128 |
101 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
419 |
241 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
187 |
112 |
$4K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
78 |
67 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
265 |
193 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
511 |
300 |
$2K |
| E0570 |
Nebulizer, with compressor |
781 |
693 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
47 |
25 |
$760.72 |
| E1392 |
Portable oxygen concentrator, rental |
151 |
121 |
$726.33 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
236 |
203 |
$721.29 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
30 |
23 |
$479.16 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
99 |
81 |
$294.49 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
655 |
565 |
$148.11 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
14 |
$43.07 |