| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
562 |
419 |
$228K |
| E1399 |
Durable medical equipment mi |
1,255 |
737 |
$224K |
| E1390 |
Oxygen concentrator |
3,367 |
2,973 |
$182K |
| E0466 |
Home vent non-invasive inter |
858 |
767 |
$108K |
| E0445 |
Oximeter non-invasive |
1,997 |
1,755 |
$100K |
| A9900 |
Supply/accessory/service |
2,968 |
890 |
$100K |
| A4624 |
Tracheal suction tube |
967 |
599 |
$72K |
| A7526 |
Tracheostomy tube collar |
1,161 |
784 |
$55K |
| A4629 |
Tracheostomy care kit |
659 |
390 |
$32K |
| E0431 |
Portable gaseous 02 |
2,610 |
2,280 |
$32K |
| A7507 |
Integrated filter & holder |
909 |
576 |
$28K |
| E0600 |
Suction pump portab hom modl |
979 |
809 |
$18K |
| A7000 |
Disposable canister for pump |
1,753 |
1,235 |
$14K |
| A4628 |
Oropharyngeal suction cath |
1,556 |
1,098 |
$11K |
| A4606 |
Oxygen probe used w oximeter |
1,362 |
834 |
$11K |
| A9999 |
Dme supply or accessory, nos |
343 |
43 |
$9K |
| A7002 |
Tubing used w suction pump |
1,795 |
1,271 |
$9K |
| A7520 |
Trach/laryn tube non-cuffed |
159 |
123 |
$3K |
| E0570 |
Nebulizer with compression |
622 |
521 |
$3K |
| A7046 |
Repl water chamber, pap dev |
537 |
334 |
$2K |
| A7003 |
Nebulizer administration set |
881 |
644 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
15 |
13 |
$964.79 |
| A4216 |
Sterile water/saline, 10 ml |
58 |
55 |
$727.05 |
| A7038 |
Pos airway pressure filter |
427 |
366 |
$705.26 |
| E0601 |
Cont airway pressure device |
54 |
50 |
$626.91 |
| A7045 |
Repl exhalation port for pap |
76 |
56 |
$415.34 |
| A4618 |
Breathing circuits |
153 |
89 |
$363.28 |
| A7525 |
Tracheostomy mask |
338 |
197 |
$287.66 |
| E0562 |
Humidifier heated used w pap |
60 |
51 |
$188.99 |
| A4604 |
Tubing with heating element |
31 |
12 |
$148.48 |
| A7015 |
Aerosol mask used w nebulize |
36 |
31 |
$34.60 |