| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
9,348 |
5,569 |
$5.95M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
26,017 |
23,612 |
$3.09M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,132 |
1,655 |
$1.12M |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
4,915 |
4,854 |
$907K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
21,805 |
5,236 |
$606K |
| S8189 |
Tracheostomy supply, not otherwise classified |
4,901 |
3,186 |
$465K |
| A4605 |
Tracheal suction catheter, closed system, each |
1,968 |
1,923 |
$441K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
4,091 |
4,058 |
$354K |
| A7526 |
Tracheostomy tube collar/holder, each |
5,564 |
5,501 |
$328K |
| A7000 |
Canister, disposable, used with suction pump, each |
8,963 |
8,849 |
$290K |
| A4623 |
Tracheostomy, inner cannula |
2,177 |
2,112 |
$285K |
| L8501 |
Tracheostomy speaking valve |
1,813 |
1,800 |
$231K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
3,989 |
3,503 |
$206K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,615 |
2,483 |
$191K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,405 |
6,963 |
$151K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
4,087 |
4,010 |
$147K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
7,861 |
7,797 |
$137K |
| A7504 |
Filter for use in a tracheostoma heat and moisture exchange system, each |
1,628 |
1,615 |
$134K |
| A7002 |
Tubing, used with suction pump, each |
9,396 |
9,286 |
$124K |
| E1392 |
Portable oxygen concentrator, rental |
2,652 |
2,541 |
$94K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,517 |
1,490 |
$70K |
| A4927 |
Gloves, non-sterile, per 100 |
4,058 |
3,988 |
$69K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
6,027 |
5,941 |
$66K |
| E0570 |
Nebulizer, with compressor |
1,455 |
1,450 |
$65K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
679 |
668 |
$60K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
8,212 |
8,143 |
$51K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
1,011 |
1,001 |
$38K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
3,282 |
3,002 |
$26K |
| A7012 |
Water collection device, used with large volume nebulizer |
1,854 |
1,843 |
$23K |
| A7525 |
Tracheostomy mask, each |
3,071 |
3,066 |
$19K |
| 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) |
82 |
74 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,806 |
2,436 |
$14K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
200 |
195 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
188 |
184 |
$13K |
| E1399 |
Durable medical equipment, miscellaneous |
1,719 |
1,647 |
$13K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,491 |
2,472 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
513 |
499 |
$12K |
| A7015 |
Aerosol mask, used with dme nebulizer |
6,308 |
2,816 |
$12K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
85 |
84 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
426 |
425 |
$11K |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
1,462 |
1,455 |
$8K |
| A4481 |
Tracheostoma filter, any type, any size, each |
1,980 |
1,949 |
$7K |
| K0001 |
Standard wheelchair |
122 |
121 |
$5K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
390 |
390 |
$4K |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
20 |
15 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
136 |
136 |
$2K |
| A7527 |
Tracheostomy/laryngectomy tube plug/stop, each |
168 |
168 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
719 |
717 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
40 |
40 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
37 |
36 |
$1K |
| A4332 |
Lubricant, individual sterile packet, each |
3,995 |
3,961 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
79 |
78 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
15 |
15 |
$964.92 |
| E1226 |
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
27 |
27 |
$905.59 |
| L2330 |
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only |
20 |
15 |
$830.99 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
29 |
28 |
$770.84 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
141 |
141 |
$396.97 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
86 |
86 |
$310.20 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$193.37 |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
20 |
15 |
$173.90 |