| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,919 |
1,848 |
$1.21M |
| E0465 |
Home vent invasive interface |
1,054 |
895 |
$619K |
| E1390 |
Oxygen concentrator |
2,404 |
2,395 |
$265K |
| A4624 |
Tracheal suction tube |
856 |
788 |
$104K |
| E0445 |
Oximeter non-invasive |
935 |
933 |
$73K |
| E0482 |
Cough stimulating device |
322 |
322 |
$64K |
| A7507 |
Integrated filter & holder |
731 |
632 |
$61K |
| A4629 |
Tracheostomy care kit |
610 |
562 |
$51K |
| E0431 |
Portable gaseous 02 |
2,254 |
2,252 |
$44K |
| A4606 |
Oxygen probe used w oximeter |
768 |
652 |
$41K |
| A4605 |
Trach suction cath close sys |
500 |
459 |
$33K |
| E0600 |
Suction pump portab hom modl |
1,164 |
1,150 |
$28K |
| A7526 |
Tracheostomy tube collar |
971 |
885 |
$27K |
| A4927 |
Non-sterile gloves |
1,039 |
976 |
$23K |
| A4628 |
Oropharyngeal suction cath |
1,396 |
1,310 |
$14K |
| A7000 |
Disposable canister for pump |
1,766 |
1,687 |
$13K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
183 |
177 |
$11K |
| A4216 |
Sterile water/saline, 10 ml |
950 |
868 |
$11K |
| A7520 |
Trach/laryn tube non-cuffed |
121 |
116 |
$9K |
| E1399 |
Durable medical equipment mi |
55 |
41 |
$8K |
| A7002 |
Tubing used w suction pump |
1,437 |
1,371 |
$4K |
| E0565 |
Compressor air power source |
134 |
128 |
$3K |
| A7003 |
Nebulizer administration set |
1,024 |
984 |
$3K |
| A6402 |
Sterile gauze <= 16 sq in |
114 |
107 |
$964.27 |
| A7525 |
Tracheostomy mask |
462 |
450 |
$707.79 |
| A4402 |
Lubricant per ounce |
134 |
132 |
$355.20 |
| A7007 |
Lg vol nebulizer disposable |
61 |
52 |
$258.02 |
| A7010 |
Disposable corrugated tubing |
12 |
12 |
$149.30 |
| A7015 |
Aerosol mask used w nebulize |
26 |
25 |
$33.61 |
| A7020 |
Interface, cough stim device |
15 |
12 |
$31.58 |