| 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 |
26,319 |
22,036 |
$1.12M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,273 |
1,800 |
$606K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,898 |
3,196 |
$111K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,125 |
8,217 |
$98K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,200 |
1,440 |
$90K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,211 |
1,074 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
1,161 |
1,053 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
529 |
467 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
352 |
322 |
$9K |
| 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) |
130 |
62 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
578 |
551 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
418 |
390 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
858 |
743 |
$5K |
| E0570 |
Nebulizer, with compressor |
2,537 |
2,350 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,269 |
1,915 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
1,394 |
1,203 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
857 |
747 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,358 |
2,016 |
$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 |
144 |
127 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
287 |
263 |
$976.12 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
139 |
126 |
$867.16 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
250 |
226 |
$799.59 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
80 |
69 |
$235.09 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
14 |
$176.45 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
30 |
26 |
$14.13 |