| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
10,921 |
9,476 |
$441K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
653 |
492 |
$222K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
530 |
268 |
$212K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
455 |
316 |
$97K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,405 |
1,082 |
$76K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,617 |
703 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,835 |
5,896 |
$70K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
711 |
566 |
$59K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
373 |
240 |
$54K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
317 |
172 |
$25K |
| E0570 |
Nebulizer, with compressor |
1,770 |
1,491 |
$18K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
333 |
195 |
$15K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,479 |
1,053 |
$14K |
| A4927 |
Gloves, non-sterile, per 100 |
846 |
598 |
$11K |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
110 |
79 |
$10K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
728 |
574 |
$6K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
220 |
155 |
$5K |
| B9998 |
Noc for enteral supplies |
347 |
178 |
$5K |
| A4217 |
Sterile water/saline, 500 ml |
130 |
98 |
$5K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
248 |
199 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,882 |
1,500 |
$3K |
| A7002 |
Tubing, used with suction pump, each |
1,833 |
1,013 |
$3K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
19 |
12 |
$2K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
575 |
512 |
$2K |
| E1372 |
Immersion external heater for nebulizer |
138 |
106 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
168 |
114 |
$1K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
55 |
48 |
$894.67 |
| A4402 |
Lubricant, per ounce |
485 |
339 |
$874.34 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
196 |
138 |
$770.89 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
52 |
38 |
$320.90 |
| A4245 |
Alcohol wipes, per box |
153 |
130 |
$319.96 |
| A4452 |
Tape, waterproof, per 18 square inches |
47 |
37 |
$200.71 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
12 |
$90.96 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
32 |
27 |
$75.94 |