| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
3,159 |
2,815 |
$2.36M |
| S8189 |
Trach supply noc |
2,095 |
1,891 |
$967K |
| E0466 |
Home vent non-invasive inter |
1,971 |
1,761 |
$948K |
| A4624 |
Tracheal suction tube |
3,121 |
2,836 |
$909K |
| E1390 |
Oxygen concentrator |
10,550 |
9,897 |
$875K |
| E0445 |
Oximeter non-invasive |
2,888 |
2,664 |
$365K |
| A7509 |
Heat & moisture exchange sys |
2,626 |
2,271 |
$296K |
| E0619 |
Apnea monitor w recorder |
1,249 |
1,147 |
$280K |
| A7526 |
Tracheostomy tube collar |
3,392 |
3,155 |
$201K |
| E0482 |
Cough stimulating device |
402 |
376 |
$158K |
| E0431 |
Portable gaseous 02 |
8,060 |
7,523 |
$141K |
| A4629 |
Tracheostomy care kit |
1,314 |
1,213 |
$103K |
| E0443 |
Portable 02 contents, gas |
1,941 |
1,799 |
$100K |
| A7000 |
Disposable canister for pump |
4,046 |
3,726 |
$76K |
| E0565 |
Compressor air power source |
1,652 |
1,574 |
$65K |
| A4628 |
Oropharyngeal suction cath |
3,371 |
3,140 |
$43K |
| E0570 |
Nebulizer with compression |
310 |
297 |
$21K |
| A4216 |
Sterile water/saline, 10 ml |
2,116 |
1,954 |
$17K |
| A4217 |
Sterile water/saline, 500 ml |
333 |
322 |
$16K |
| A7520 |
Trach/laryn tube non-cuffed |
295 |
269 |
$16K |
| A4927 |
Non-sterile gloves |
778 |
717 |
$13K |
| A7038 |
Pos airway pressure filter |
2,942 |
2,728 |
$11K |
| A7002 |
Tubing used w suction pump |
4,240 |
3,876 |
$10K |
| A6402 |
Sterile gauze <= 16 sq in |
2,154 |
2,012 |
$9K |
| A7003 |
Nebulizer administration set |
2,289 |
2,073 |
$7K |
| A7005 |
Nondisposable nebulizer set |
189 |
179 |
$4K |
| A4606 |
Oxygen probe used w oximeter |
239 |
206 |
$2K |
| A6216 |
Non-sterile gauze<=16 sq in |
254 |
239 |
$2K |
| A4358 |
Urinary leg or abdomen bag |
202 |
190 |
$1K |
| A7525 |
Tracheostomy mask |
813 |
774 |
$1K |
| A4618 |
Breathing circuits |
216 |
182 |
$758.82 |
| A7012 |
Nebulizer water collec devic |
191 |
182 |
$704.09 |
| A7015 |
Aerosol mask used w nebulize |
251 |
229 |
$312.45 |
| A7045 |
Repl exhalation port for pap |
19 |
13 |
$0.00 |