| 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 |
23,354 |
19,200 |
$869K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,725 |
1,312 |
$385K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,091 |
2,130 |
$130K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,196 |
2,226 |
$70K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,671 |
6,806 |
$64K |
| A7030 |
Full face mask used with positive airway pressure device, each |
637 |
573 |
$25K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
112 |
107 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
698 |
642 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
1,193 |
1,068 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
720 |
650 |
$5K |
| E0570 |
Nebulizer, with compressor |
2,831 |
2,498 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
387 |
358 |
$3K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
492 |
436 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
66 |
61 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
1,161 |
1,065 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
530 |
492 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,436 |
1,196 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
185 |
175 |
$956.56 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,679 |
1,500 |
$779.32 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
52 |
47 |
$346.62 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
59 |
53 |
$174.40 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
175 |
156 |
$35.94 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
75 |
69 |
$18.56 |