| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,537 |
910 |
$766K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
793 |
656 |
$257K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
371 |
288 |
$245K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,677 |
1,495 |
$183K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,080 |
912 |
$43K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
808 |
672 |
$35K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
559 |
492 |
$31K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
243 |
189 |
$15K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
449 |
417 |
$9K |
| A7526 |
Tracheostomy tube collar/holder, each |
304 |
255 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
210 |
186 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
494 |
404 |
$4K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
123 |
95 |
$4K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
31 |
25 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
131 |
109 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
331 |
278 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
391 |
326 |
$2K |
| A7000 |
Canister, disposable, used with suction pump, each |
194 |
171 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
135 |
118 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
240 |
207 |
$1K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
48 |
39 |
$1K |
| A4605 |
Tracheal suction catheter, closed system, each |
29 |
26 |
$722.01 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$184.94 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
20 |
12 |
$178.55 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
44 |
39 |
$162.79 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$121.09 |
| A7031 |
Face mask interface, replacement for full face mask, each |
23 |
14 |
$107.60 |