| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
1,696 |
1,532 |
$676K |
| E1390 |
Oxygen concentrator |
2,967 |
2,638 |
$138K |
| E0465 |
Home vent invasive interface |
378 |
301 |
$98K |
| E1392 |
Portable oxygen concentrator |
1,031 |
909 |
$16K |
| E0600 |
Suction pump portab hom modl |
177 |
162 |
$14K |
| E0601 |
Cont airway pressure device |
276 |
255 |
$10K |
| K0738 |
Portable gas oxygen system |
282 |
252 |
$7K |
| A7030 |
Cpap full face mask |
82 |
72 |
$5K |
| A4629 |
Tracheostomy care kit |
140 |
121 |
$4K |
| A4623 |
Tracheostomy inner cannula |
76 |
62 |
$4K |
| E0445 |
Oximeter non-invasive |
29 |
25 |
$3K |
| A7002 |
Tubing used w suction pump |
207 |
177 |
$2K |
| A7000 |
Disposable canister for pump |
127 |
101 |
$2K |
| A7037 |
Pos airway pressure tubing |
131 |
121 |
$2K |
| A7035 |
Pos airway press headgear |
62 |
57 |
$918.91 |
| A6402 |
Sterile gauze <= 16 sq in |
199 |
159 |
$652.66 |
| A7038 |
Pos airway pressure filter |
342 |
263 |
$558.31 |
| A7034 |
Nasal application device |
14 |
13 |
$527.72 |
| A4604 |
Tubing with heating element |
15 |
14 |
$404.58 |
| A4628 |
Oropharyngeal suction cath |
27 |
24 |
$187.73 |
| A7031 |
Replacement facemask interfa |
19 |
13 |
$167.71 |
| A4217 |
Sterile water/saline, 500 ml |
13 |
12 |
$114.50 |
| A7003 |
Nebulizer administration set |
14 |
13 |
$29.35 |