| 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 |
12,442 |
10,015 |
$488K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,128 |
1,302 |
$55K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,664 |
3,972 |
$47K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
327 |
224 |
$15K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
88 |
79 |
$15K |
| E0570 |
Nebulizer, with compressor |
1,501 |
1,298 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
162 |
149 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
199 |
156 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
31 |
27 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
904 |
646 |
$667.37 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,088 |
848 |
$574.54 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
50 |
43 |
$408.30 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
32 |
28 |
$238.16 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
99 |
84 |
$159.96 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
12 |
$137.65 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
19 |
12 |
$111.65 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
32 |
26 |
$98.97 |
| A7035 |
Headgear used with positive airway pressure device |
69 |
49 |
$59.75 |