| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
562 |
419 |
$228K |
| E1399 |
Durable medical equipment, miscellaneous |
1,255 |
737 |
$224K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,367 |
2,973 |
$182K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
858 |
767 |
$108K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
1,997 |
1,755 |
$100K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
2,968 |
890 |
$100K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
967 |
599 |
$72K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,161 |
784 |
$55K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
659 |
390 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,610 |
2,280 |
$32K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
909 |
576 |
$28K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
979 |
809 |
$18K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,753 |
1,235 |
$14K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,556 |
1,098 |
$11K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
1,362 |
834 |
$11K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
343 |
43 |
$9K |
| A7002 |
Tubing, used with suction pump, each |
1,795 |
1,271 |
$9K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
159 |
123 |
$3K |
| E0570 |
Nebulizer, with compressor |
622 |
521 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
537 |
334 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
881 |
644 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
15 |
13 |
$964.79 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
58 |
55 |
$727.05 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
427 |
366 |
$705.26 |
| E0601 |
Continuous positive airway pressure (cpap) device |
54 |
50 |
$626.91 |
| A7045 |
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
76 |
56 |
$415.34 |
| A4618 |
Breathing circuits |
153 |
89 |
$363.28 |
| A7525 |
Tracheostomy mask, each |
338 |
197 |
$287.66 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
60 |
51 |
$188.99 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
31 |
12 |
$148.48 |
| A7015 |
Aerosol mask, used with dme nebulizer |
36 |
31 |
$34.60 |