| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,537 |
910 |
$766K |
| E0445 |
Oximeter non-invasive |
793 |
656 |
$257K |
| E0466 |
Home vent non-invasive inter |
371 |
288 |
$245K |
| E1390 |
Oxygen concentrator |
1,677 |
1,495 |
$183K |
| E0601 |
Cont airway pressure device |
1,080 |
912 |
$43K |
| E0600 |
Suction pump portab hom modl |
808 |
672 |
$35K |
| E0430 |
Oxygen system gas portable |
559 |
492 |
$31K |
| A4624 |
Tracheal suction tube |
243 |
189 |
$15K |
| E0431 |
Portable gaseous 02 |
449 |
417 |
$9K |
| A7526 |
Tracheostomy tube collar |
304 |
255 |
$7K |
| E0562 |
Humidifier heated used w pap |
210 |
186 |
$7K |
| A7038 |
Pos airway pressure filter |
494 |
404 |
$4K |
| A4629 |
Tracheostomy care kit |
123 |
95 |
$4K |
| A4483 |
Moisture exchanger |
31 |
25 |
$3K |
| A7030 |
Cpap full face mask |
131 |
109 |
$3K |
| A7037 |
Pos airway pressure tubing |
331 |
278 |
$2K |
| A7035 |
Pos airway press headgear |
391 |
326 |
$2K |
| A7000 |
Disposable canister for pump |
194 |
171 |
$2K |
| A4927 |
Non-sterile gloves |
135 |
118 |
$2K |
| A7002 |
Tubing used w suction pump |
240 |
207 |
$1K |
| A6216 |
Non-sterile gauze<=16 sq in |
48 |
39 |
$1K |
| A4605 |
Trach suction cath close sys |
29 |
26 |
$722.01 |
| A7032 |
Replacement nasal cushion |
12 |
12 |
$184.94 |
| A7034 |
Nasal application device |
20 |
12 |
$178.55 |
| A4628 |
Oropharyngeal suction cath |
44 |
39 |
$162.79 |
| A7039 |
Filter, non disposable w pap |
13 |
13 |
$121.09 |
| A7031 |
Replacement facemask interfa |
23 |
14 |
$107.60 |