| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
8,105 |
6,641 |
$3.83M |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
2,235 |
1,850 |
$815K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
1,984 |
1,920 |
$245K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
911 |
862 |
$87K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
629 |
621 |
$72K |
| A4623 |
Tracheostomy, inner cannula |
824 |
736 |
$32K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
788 |
719 |
$29K |
| A4217 |
Sterile water/saline, 500 ml |
1,215 |
1,112 |
$25K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
615 |
593 |
$17K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,743 |
1,606 |
$14K |
| A7526 |
Tracheostomy tube collar/holder, each |
568 |
532 |
$9K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
692 |
636 |
$7K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
769 |
721 |
$7K |
| A4605 |
Tracheal suction catheter, closed system, each |
366 |
338 |
$6K |
| A7002 |
Tubing, used with suction pump, each |
1,793 |
1,664 |
$5K |
| A7020 |
Interface for cough stimulating device, includes all components, replacement only |
959 |
901 |
$5K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,353 |
1,253 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
288 |
260 |
$2K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
12 |
12 |
$1K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
110 |
104 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
455 |
429 |
$880.59 |
| A7035 |
Headgear used with positive airway pressure device |
41 |
37 |
$367.84 |