| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
939 |
828 |
$675K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
542 |
454 |
$59K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
455 |
396 |
$29K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
231 |
205 |
$19K |
| A4218 |
Sterile saline or water, metered dose dispenser, 10 ml |
215 |
196 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
329 |
301 |
$5K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
78 |
72 |
$4K |
| A7000 |
Canister, disposable, used with suction pump, each |
532 |
488 |
$3K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
25 |
24 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
262 |
232 |
$2K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
36 |
36 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
527 |
484 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
15 |
14 |
$755.60 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
17 |
16 |
$265.28 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
12 |
12 |
$130.16 |