| 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 |
20,862 |
15,454 |
$856K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,217 |
2,323 |
$732K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
2,007 |
1,252 |
$506K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,188 |
391 |
$496K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,154 |
1,936 |
$123K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
2,850 |
1,974 |
$96K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
442 |
407 |
$50K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,239 |
4,218 |
$29K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,315 |
771 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
1,539 |
1,210 |
$12K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
60 |
49 |
$6K |
| J7606 |
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms |
48 |
43 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
883 |
663 |
$6K |
| E0570 |
Nebulizer, with compressor |
2,159 |
1,701 |
$6K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
66 |
37 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,492 |
2,474 |
$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 |
320 |
284 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
388 |
334 |
$892.33 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
79 |
70 |
$850.93 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
149 |
136 |
$808.27 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
326 |
212 |
$520.29 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
73 |
53 |
$408.43 |
| A7030 |
Full face mask used with positive airway pressure device, each |
44 |
33 |
$394.46 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
833 |
586 |
$196.25 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
87 |
63 |
$176.11 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
14 |
12 |
$141.00 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
34 |
25 |
$121.78 |
| A7037 |
Tubing used with positive airway pressure device |
138 |
87 |
$84.35 |
| A7031 |
Face mask interface, replacement for full face mask, each |
19 |
13 |
$51.93 |
| A7035 |
Headgear used with positive airway pressure device |
20 |
13 |
$16.38 |