| 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 |
21,607 |
19,614 |
$817K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,577 |
9,644 |
$351K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
415 |
335 |
$118K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,784 |
2,552 |
$76K |
| A7030 |
Full face mask used with positive airway pressure device, each |
759 |
671 |
$40K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,054 |
920 |
$29K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,894 |
4,439 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
863 |
789 |
$21K |
| 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) |
242 |
217 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,139 |
1,014 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
968 |
868 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
303 |
272 |
$8K |
| E0570 |
Nebulizer, with compressor |
1,405 |
1,278 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
734 |
658 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
737 |
654 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
428 |
373 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
257 |
257 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
119 |
106 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
82 |
78 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,269 |
1,133 |
$1K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
66 |
49 |
$568.39 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
15 |
14 |
$152.76 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
17 |
12 |
$27.37 |