| 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 |
15,026 |
14,833 |
$736K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,469 |
5,334 |
$225K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
510 |
507 |
$181K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,223 |
7,126 |
$82K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
492 |
414 |
$73K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,928 |
1,910 |
$73K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,463 |
2,440 |
$54K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,116 |
5,987 |
$54K |
| E0570 |
Nebulizer, with compressor |
6,725 |
6,520 |
$40K |
| 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) |
477 |
477 |
$38K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,357 |
1,336 |
$30K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,634 |
4,555 |
$26K |
| A7037 |
Tubing used with positive airway pressure device |
2,867 |
2,836 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
2,239 |
2,211 |
$23K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
779 |
760 |
$18K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
153 |
135 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,172 |
2,153 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
1,209 |
1,172 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
341 |
337 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
505 |
497 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,682 |
2,534 |
$3K |
| B9002 |
Enteral nutrition infusion pump, any type |
44 |
41 |
$2K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
14 |
12 |
$580.10 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
42 |
39 |
$521.40 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
45 |
45 |
$276.35 |
| A7015 |
Aerosol mask, used with dme nebulizer |
309 |
298 |
$188.01 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
14 |
$88.48 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
15 |
$84.67 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
40 |
39 |
$5.96 |