| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
3,159 |
2,815 |
$2.36M |
| S8189 |
Tracheostomy supply, not otherwise classified |
2,095 |
1,891 |
$967K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,971 |
1,761 |
$948K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
3,121 |
2,836 |
$909K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
10,550 |
9,897 |
$875K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
2,888 |
2,664 |
$365K |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
2,626 |
2,271 |
$296K |
| E0619 |
Apnea monitor, with recording feature |
1,249 |
1,147 |
$280K |
| A7526 |
Tracheostomy tube collar/holder, each |
3,392 |
3,155 |
$201K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
402 |
376 |
$158K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,060 |
7,523 |
$141K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
1,314 |
1,213 |
$103K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,941 |
1,799 |
$100K |
| A7000 |
Canister, disposable, used with suction pump, each |
4,046 |
3,726 |
$76K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
1,652 |
1,574 |
$65K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
3,371 |
3,140 |
$43K |
| E0570 |
Nebulizer, with compressor |
310 |
297 |
$21K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
2,116 |
1,954 |
$17K |
| A4217 |
Sterile water/saline, 500 ml |
333 |
322 |
$16K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
295 |
269 |
$16K |
| A4927 |
Gloves, non-sterile, per 100 |
778 |
717 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,942 |
2,728 |
$11K |
| A7002 |
Tubing, used with suction pump, each |
4,240 |
3,876 |
$10K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,154 |
2,012 |
$9K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,289 |
2,073 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
189 |
179 |
$4K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
239 |
206 |
$2K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
254 |
239 |
$2K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
202 |
190 |
$1K |
| A7525 |
Tracheostomy mask, each |
813 |
774 |
$1K |
| A4618 |
Breathing circuits |
216 |
182 |
$758.82 |
| A7012 |
Water collection device, used with large volume nebulizer |
191 |
182 |
$704.09 |
| A7015 |
Aerosol mask, used with dme nebulizer |
251 |
229 |
$312.45 |
| A7045 |
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
19 |
13 |
$0.00 |