| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
895 |
663 |
$462K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
352 |
309 |
$115K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
170 |
161 |
$34K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
349 |
347 |
$30K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
154 |
150 |
$10K |
| A7526 |
Tracheostomy tube collar/holder, each |
242 |
228 |
$6K |
| A7000 |
Canister, disposable, used with suction pump, each |
352 |
337 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
253 |
250 |
$4K |
| A7002 |
Tubing, used with suction pump, each |
384 |
350 |
$3K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
162 |
132 |
$1K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
239 |
228 |
$1K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
14 |
12 |
$851.81 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
28 |
26 |
$309.93 |
| A4623 |
Tracheostomy, inner cannula |
13 |
12 |
$243.98 |