| 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 |
8,409 |
7,662 |
$329K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,249 |
4,640 |
$48K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
93 |
77 |
$15K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
284 |
109 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
666 |
586 |
$5K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
71 |
63 |
$3K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
72 |
67 |
$2K |
| E0570 |
Nebulizer, with compressor |
902 |
880 |
$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 |
224 |
200 |
$692.27 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
19 |
18 |
$383.03 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
126 |
116 |
$297.04 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
566 |
528 |
$142.90 |