| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
93,535 |
81,767 |
$30.46M |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
7,577 |
5,174 |
$2.55M |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
4,753 |
4,077 |
$1.69M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
33,546 |
28,541 |
$1.28M |
| E0601 |
Continuous positive airway pressure (cpap) device |
25,525 |
22,892 |
$1.11M |
| A7030 |
Full face mask used with positive airway pressure device, each |
16,807 |
14,450 |
$1.09M |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,225 |
4,573 |
$493K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
8,713 |
7,576 |
$362K |
| A7037 |
Tubing used with positive airway pressure device |
22,992 |
19,562 |
$342K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
2,060 |
1,805 |
$310K |
| E1392 |
Portable oxygen concentrator, rental |
27,112 |
22,741 |
$297K |
| A7031 |
Face mask interface, replacement for full face mask, each |
13,244 |
8,189 |
$289K |
| 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) |
2,064 |
1,879 |
$214K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
1,422 |
1,088 |
$200K |
| A7035 |
Headgear used with positive airway pressure device |
12,588 |
10,834 |
$170K |
| A4605 |
Tracheal suction catheter, closed system, each |
1,049 |
790 |
$152K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
5,847 |
3,306 |
$113K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
2,418 |
1,398 |
$91K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
30,601 |
18,831 |
$81K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
11,425 |
9,735 |
$55K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
2,059 |
1,349 |
$53K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
2,741 |
2,242 |
$47K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,617 |
1,279 |
$45K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
1,360 |
790 |
$43K |
| A4649 |
Surgical supply; miscellaneous |
2,416 |
1,210 |
$42K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
8,121 |
6,621 |
$34K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,646 |
1,060 |
$29K |
| 94660 |
|
3,270 |
2,659 |
$25K |
| A4618 |
Breathing circuits |
1,953 |
1,535 |
$24K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
268 |
184 |
$17K |
| E0570 |
Nebulizer, with compressor |
3,197 |
2,751 |
$16K |
| A7000 |
Canister, disposable, used with suction pump, each |
2,268 |
1,764 |
$13K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,194 |
991 |
$13K |
| A7036 |
Chinstrap used with positive airway pressure device |
1,465 |
1,351 |
$11K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
22 |
17 |
$8K |
| E1399 |
Durable medical equipment, miscellaneous |
1,482 |
956 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,364 |
1,878 |
$7K |
| A4623 |
Tracheostomy, inner cannula |
60 |
39 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,426 |
1,210 |
$4K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
23 |
17 |
$4K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
89 |
76 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,931 |
1,099 |
$2K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
20 |
12 |
$1K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
18 |
14 |
$836.81 |
| B9998 |
Noc for enteral supplies |
18 |
12 |
$768.69 |
| A4615 |
Cannula, nasal |
985 |
592 |
$491.18 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,418 |
1,195 |
$377.36 |
| A4616 |
Tubing (oxygen), per foot |
2,173 |
1,689 |
$342.73 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
152 |
106 |
$332.60 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
45 |
40 |
$291.50 |
| A7002 |
Tubing, used with suction pump, each |
120 |
93 |
$287.59 |
| A4217 |
Sterile water/saline, 500 ml |
43 |
25 |
$87.28 |
| A7012 |
Water collection device, used with large volume nebulizer |
44 |
12 |
$73.25 |
| E0555 |
Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter |
20 |
12 |
$19.21 |