| Code | Description | Claims | Beneficiaries | Total Paid |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
353 |
337 |
$245K |
| E1399 |
Durable medical equipment, miscellaneous |
374 |
347 |
$185K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
249 |
246 |
$161K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
508 |
507 |
$73K |
| S8189 |
Tracheostomy supply, not otherwise classified |
184 |
179 |
$43K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
137 |
135 |
$24K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
201 |
157 |
$21K |
| A7526 |
Tracheostomy tube collar/holder, each |
232 |
226 |
$15K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
56 |
56 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
221 |
220 |
$14K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
200 |
173 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
347 |
346 |
$13K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
203 |
189 |
$11K |
| A4649 |
Surgical supply; miscellaneous |
44 |
43 |
$11K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
67 |
67 |
$9K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
135 |
132 |
$6K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
33 |
33 |
$6K |
| A4927 |
Gloves, non-sterile, per 100 |
289 |
267 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
384 |
383 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
92 |
89 |
$2K |
| K0001 |
Standard wheelchair |
52 |
52 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
28 |
28 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
72 |
72 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
14 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
86 |
86 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
45 |
45 |
$1K |
| E0570 |
Nebulizer, with compressor |
140 |
140 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
12 |
12 |
$798.88 |
| A7002 |
Tubing, used with suction pump, each |
216 |
212 |
$590.96 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
30 |
30 |
$274.89 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
67 |
63 |
$200.64 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
12 |
12 |
$91.60 |
| A7000 |
Canister, disposable, used with suction pump, each |
13 |
13 |
$74.69 |
| A4402 |
Lubricant, per ounce |
51 |
49 |
$63.35 |
| A4245 |
Alcohol wipes, per box |
13 |
12 |
$24.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$19.15 |