| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4624 |
Tracheal suction tube |
7,397 |
6,340 |
$3.68M |
| E0465 |
Home vent invasive interface |
3,523 |
3,217 |
$2.96M |
| E1390 |
Oxygen concentrator |
32,729 |
31,156 |
$2.83M |
| S8189 |
Trach supply noc |
7,032 |
6,097 |
$2.64M |
| A7509 |
Heat & moisture exchange sys |
8,014 |
7,086 |
$1.97M |
| E0445 |
Oximeter non-invasive |
13,311 |
11,924 |
$1.52M |
| E0443 |
Portable 02 contents, gas |
10,553 |
7,243 |
$1.24M |
| A5126 |
Disk/foam pad +or- adhesive |
10,930 |
10,185 |
$1.12M |
| A4606 |
Oxygen probe used w oximeter |
12,382 |
10,868 |
$690K |
| A4628 |
Oropharyngeal suction cath |
5,705 |
5,150 |
$507K |
| A7526 |
Tracheostomy tube collar |
7,608 |
6,940 |
$498K |
| A4625 |
Trach care kit for new trach |
3,462 |
3,158 |
$473K |
| E0431 |
Portable gaseous 02 |
26,412 |
25,003 |
$471K |
| A4217 |
Sterile water/saline, 500 ml |
7,218 |
6,553 |
$302K |
| E0565 |
Compressor air power source |
8,492 |
7,880 |
$299K |
| E1399 |
Durable medical equipment mi |
2,667 |
2,044 |
$289K |
| E0466 |
Home vent non-invasive inter |
389 |
352 |
$284K |
| A7520 |
Trach/laryn tube non-cuffed |
2,315 |
1,996 |
$258K |
| A7000 |
Disposable canister for pump |
9,778 |
8,910 |
$191K |
| A4927 |
Non-sterile gloves |
6,228 |
5,529 |
$143K |
| A7008 |
Disposable nebulizer prefill |
4,963 |
4,515 |
$121K |
| E1372 |
Oxy suppl heater for nebuliz |
8,632 |
7,920 |
$118K |
| A7010 |
Disposable corrugated tubing |
6,011 |
5,384 |
$81K |
| E0550 |
Humidif extens supple w ippb |
2,772 |
2,586 |
$80K |
| E0482 |
Cough stimulating device |
209 |
180 |
$75K |
| A6402 |
Sterile gauze <= 16 sq in |
3,463 |
3,021 |
$68K |
| E0570 |
Nebulizer with compression |
847 |
707 |
$52K |
| A7030 |
Cpap full face mask |
527 |
480 |
$51K |
| A6216 |
Non-sterile gauze<=16 sq in |
3,147 |
2,845 |
$45K |
| A4450 |
Non-waterproof tape |
11,425 |
10,571 |
$45K |
| A7012 |
Nebulizer water collec devic |
4,707 |
4,146 |
$43K |
| E0600 |
Suction pump portab hom modl |
155 |
122 |
$43K |
| A4452 |
Waterproof tape |
6,611 |
6,300 |
$42K |
| A4216 |
Sterile water/saline, 10 ml |
4,206 |
3,875 |
$36K |
| E0471 |
Rad w/backup non inv intrfc |
24 |
24 |
$34K |
| A7003 |
Nebulizer administration set |
6,326 |
5,661 |
$33K |
| A7525 |
Tracheostomy mask |
5,499 |
4,799 |
$29K |
| A7002 |
Tubing used w suction pump |
11,210 |
10,140 |
$23K |
| A7037 |
Pos airway pressure tubing |
960 |
828 |
$23K |
| A4402 |
Lubricant per ounce |
4,302 |
3,931 |
$18K |
| A7005 |
Nondisposable nebulizer set |
1,103 |
943 |
$18K |
| A4362 |
Solid skin barrier |
550 |
418 |
$17K |
| A4618 |
Breathing circuits |
3,230 |
2,804 |
$15K |
| A7038 |
Pos airway pressure filter |
2,063 |
1,850 |
$15K |
| E0619 |
Apnea monitor w recorder |
69 |
63 |
$13K |
| A7015 |
Aerosol mask used w nebulize |
2,788 |
2,383 |
$11K |
| E0601 |
Cont airway pressure device |
173 |
124 |
$10K |
| A7035 |
Pos airway press headgear |
428 |
389 |
$8K |
| A7046 |
Repl water chamber, pap dev |
771 |
626 |
$8K |
| A9900 |
Supply/accessory/service |
692 |
545 |
$3K |
| A7031 |
Replacement facemask interfa |
42 |
40 |
$2K |
| A7039 |
Filter, non disposable w pap |
128 |
106 |
$628.06 |
| K0739 |
Repair/svc dme non-oxygen eq |
14 |
13 |
$318.48 |
| A4615 |
Cannula nasal |
96 |
80 |
$36.60 |
| A6453 |
Self-adher band w <3"/yd |
18 |
13 |
$32.64 |