| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S8189 |
Tracheostomy supply, not otherwise classified |
6,814 |
3,759 |
$2.84M |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
3,904 |
3,331 |
$2.32M |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
6,890 |
6,372 |
$1.42M |
| A4605 |
Tracheal suction catheter, closed system, each |
4,296 |
3,306 |
$1.32M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
11,954 |
10,685 |
$1.16M |
| E0601 |
Continuous positive airway pressure (cpap) device |
17,000 |
15,425 |
$1.10M |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
24,754 |
5,543 |
$879K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,702 |
1,423 |
$810K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
5,185 |
3,264 |
$618K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
11,048 |
5,057 |
$593K |
| A7031 |
Face mask interface, replacement for full face mask, each |
14,829 |
13,071 |
$534K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
10,320 |
4,588 |
$522K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,071 |
4,451 |
$411K |
| B9998 |
Noc for enteral supplies |
7,283 |
2,826 |
$375K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
7,637 |
6,923 |
$364K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13,771 |
12,211 |
$363K |
| 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) |
2,161 |
1,902 |
$289K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,660 |
2,078 |
$286K |
| A7037 |
Tubing used with positive airway pressure device |
12,033 |
10,210 |
$227K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,473 |
3,089 |
$203K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
26,968 |
23,412 |
$164K |
| A7526 |
Tracheostomy tube collar/holder, each |
7,111 |
5,455 |
$159K |
| A7035 |
Headgear used with positive airway pressure device |
8,214 |
7,264 |
$151K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
6,323 |
3,998 |
$145K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,842 |
9,873 |
$134K |
| A7000 |
Canister, disposable, used with suction pump, each |
10,125 |
7,866 |
$126K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
2,813 |
1,647 |
$102K |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
347 |
248 |
$92K |
| A4322 |
Irrigation syringe, bulb or piston, each |
1,894 |
1,474 |
$69K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,989 |
1,777 |
$67K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
7,250 |
5,212 |
$62K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
3,835 |
2,408 |
$61K |
| A7002 |
Tubing, used with suction pump, each |
14,876 |
8,257 |
$53K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
8,036 |
6,420 |
$51K |
| A4618 |
Breathing circuits |
4,515 |
2,905 |
$51K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
5,607 |
4,078 |
$41K |
| B9002 |
Enteral nutrition infusion pump, any type |
572 |
511 |
$39K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
5,108 |
3,341 |
$25K |
| E0570 |
Nebulizer, with compressor |
1,083 |
952 |
$25K |
| A4623 |
Tracheostomy, inner cannula |
302 |
225 |
$22K |
| S8999 |
Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event) |
445 |
255 |
$20K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
6,423 |
5,069 |
$15K |
| A4927 |
Gloves, non-sterile, per 100 |
2,420 |
1,817 |
$13K |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
2,945 |
2,335 |
$12K |
| L8501 |
Tracheostomy speaking valve |
126 |
90 |
$10K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
564 |
295 |
$9K |
| A7012 |
Water collection device, used with large volume nebulizer |
2,896 |
2,321 |
$9K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
41 |
37 |
$8K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
245 |
224 |
$8K |
| A7036 |
Chinstrap used with positive airway pressure device |
538 |
483 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
359 |
280 |
$4K |
| A7525 |
Tracheostomy mask, each |
4,314 |
2,632 |
$4K |
| A4452 |
Tape, waterproof, per 18 square inches |
439 |
352 |
$3K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
349 |
249 |
$3K |
| A4616 |
Tubing (oxygen), per foot |
1,531 |
880 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,986 |
1,446 |
$2K |
| 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 |
83 |
75 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
98 |
81 |
$1K |
| E0776 |
Iv pole |
71 |
62 |
$517.84 |
| A4615 |
Cannula, nasal |
756 |
333 |
$378.79 |
| A4649 |
Surgical supply; miscellaneous |
257 |
149 |
$286.71 |
| E0555 |
Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter |
290 |
136 |
$154.33 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
34 |
33 |
$0.00 |