| 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 |
1,867 |
1,573 |
$81K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,468 |
1,323 |
$39K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
459 |
380 |
$30K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
73 |
36 |
$23K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
61 |
42 |
$20K |
| B9998 |
Noc for enteral supplies |
93 |
56 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
303 |
254 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
976 |
871 |
$13K |
| S8189 |
Tracheostomy supply, not otherwise classified |
323 |
187 |
$13K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
89 |
62 |
$12K |
| A7526 |
Tracheostomy tube collar/holder, each |
315 |
232 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
422 |
381 |
$11K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
146 |
99 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
867 |
691 |
$10K |
| E0570 |
Nebulizer, with compressor |
866 |
765 |
$9K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
82 |
71 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
400 |
346 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
198 |
156 |
$5K |
| 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 |
36 |
14 |
$5K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
319 |
198 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
229 |
186 |
$4K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
70 |
47 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
85 |
80 |
$4K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
159 |
108 |
$3K |
| A7000 |
Canister, disposable, used with suction pump, each |
176 |
145 |
$3K |
| 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) |
97 |
82 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
147 |
123 |
$2K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
128 |
101 |
$2K |
| A4618 |
Breathing circuits |
218 |
137 |
$2K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
85 |
57 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
206 |
179 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
905 |
577 |
$1K |
| A4217 |
Sterile water/saline, 500 ml |
27 |
12 |
$1K |
| A7002 |
Tubing, used with suction pump, each |
121 |
107 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
98 |
64 |
$515.11 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
34 |
28 |
$293.01 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
548 |
476 |
$291.49 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
175 |
147 |
$205.37 |
| 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 |
12 |
12 |
$204.10 |
| A7015 |
Aerosol mask, used with dme nebulizer |
74 |
69 |
$128.93 |
| E1399 |
Durable medical equipment, miscellaneous |
59 |
42 |
$79.95 |
| A7037 |
Tubing used with positive airway pressure device |
14 |
12 |
$56.91 |