| 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 |
10,225 |
9,489 |
$348K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,949 |
3,630 |
$129K |
| E0601 |
Continuous positive airway pressure (cpap) device |
387 |
320 |
$5K |
| E0570 |
Nebulizer, with compressor |
641 |
612 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
744 |
628 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
28 |
26 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
277 |
230 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
40 |
38 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
115 |
97 |
$887.10 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
87 |
65 |
$844.96 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
70 |
58 |
$292.56 |
| A7035 |
Headgear used with positive airway pressure device |
13 |
12 |
$193.75 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
127 |
109 |
$92.87 |