| Code | Description | Claims | Beneficiaries | Total Paid |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
2,413 |
1,879 |
$965K |
| E0601 |
Continuous positive airway pressure (cpap) device |
15,068 |
13,172 |
$747K |
| A7030 |
Full face mask used with positive airway pressure device, each |
6,406 |
5,563 |
$535K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,072 |
4,961 |
$389K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
7,360 |
6,325 |
$379K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12,773 |
11,038 |
$375K |
| A7031 |
Face mask interface, replacement for full face mask, each |
9,287 |
7,858 |
$280K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12,212 |
11,080 |
$257K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
5,946 |
4,933 |
$185K |
| A7035 |
Headgear used with positive airway pressure device |
9,021 |
7,813 |
$153K |
| 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) |
1,742 |
1,501 |
$149K |
| A4217 |
Sterile water/saline, 500 ml |
1,803 |
1,104 |
$113K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
1,196 |
608 |
$108K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
18,348 |
15,647 |
$88K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,888 |
1,389 |
$87K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
3,678 |
3,139 |
$85K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
324 |
316 |
$58K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
6,462 |
5,593 |
$53K |
| E1392 |
Portable oxygen concentrator, rental |
1,842 |
1,533 |
$39K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
602 |
341 |
$36K |
| A7000 |
Canister, disposable, used with suction pump, each |
2,068 |
1,544 |
$34K |
| E0570 |
Nebulizer, with compressor |
736 |
642 |
$34K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
231 |
179 |
$26K |
| A4605 |
Tracheal suction catheter, closed system, each |
276 |
163 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,500 |
1,257 |
$22K |
| A7002 |
Tubing, used with suction pump, each |
2,118 |
1,596 |
$14K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
523 |
458 |
$12K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
483 |
360 |
$9K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
100 |
57 |
$8K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
779 |
524 |
$6K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
388 |
286 |
$5K |
| A4649 |
Surgical supply; miscellaneous |
199 |
130 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,424 |
1,131 |
$4K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
315 |
162 |
$4K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
159 |
119 |
$840.41 |
| A7037 |
Tubing used with positive airway pressure device |
16 |
16 |
$501.76 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
148 |
124 |
$315.14 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
17 |
17 |
$199.24 |
| A7036 |
Chinstrap used with positive airway pressure device |
14 |
12 |
$147.35 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
44 |
41 |
$54.11 |
| A7015 |
Aerosol mask, used with dme nebulizer |
38 |
32 |
$44.49 |