| 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 |
14,412 |
13,525 |
$520K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,017 |
6,673 |
$197K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,165 |
1,122 |
$188K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,202 |
1,093 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,574 |
3,296 |
$17K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
232 |
221 |
$15K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
69 |
58 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
276 |
260 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
558 |
515 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
430 |
403 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
502 |
434 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
155 |
130 |
$4K |
| 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) |
58 |
52 |
$3K |
| E0570 |
Nebulizer, with compressor |
1,036 |
960 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
102 |
91 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
43 |
36 |
$2K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
80 |
70 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
235 |
216 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
163 |
142 |
$1K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
148 |
128 |
$924.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,004 |
880 |
$896.81 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
77 |
72 |
$432.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
100 |
85 |
$81.88 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
13 |
12 |
$14.90 |