| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4605 |
Tracheal suction catheter, closed system, each |
5,907 |
5,887 |
$9.88M |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
4,427 |
4,402 |
$6.27M |
| A4340 |
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each |
6,133 |
6,125 |
$5.52M |
| A4623 |
Tracheostomy, inner cannula |
6,107 |
6,098 |
$3.61M |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
6,008 |
6,003 |
$3.48M |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
6,116 |
6,107 |
$3.13M |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
4,127 |
4,123 |
$2.97M |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
3,538 |
3,503 |
$2.28M |
| A4629 |
Tracheostomy care kit for established tracheostomy |
4,125 |
4,122 |
$861K |
| A7526 |
Tracheostomy tube collar/holder, each |
4,103 |
4,100 |
$836K |
| E1399 |
Durable medical equipment, miscellaneous |
316 |
315 |
$701K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
231 |
230 |
$410K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
585 |
585 |
$174K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
783 |
778 |
$106K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
142 |
142 |
$102K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,071 |
678 |
$64K |
| A4322 |
Irrigation syringe, bulb or piston, each |
534 |
534 |
$57K |
| A7002 |
Tubing, used with suction pump, each |
732 |
730 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
620 |
618 |
$14K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
569 |
568 |
$13K |
| A7000 |
Canister, disposable, used with suction pump, each |
37 |
35 |
$3K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
14 |
13 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
37 |
37 |
$763.88 |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$759.07 |