| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
7,397 |
6,340 |
$3.68M |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
3,523 |
3,217 |
$2.96M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
32,729 |
31,156 |
$2.83M |
| S8189 |
Tracheostomy supply, not otherwise classified |
7,032 |
6,097 |
$2.64M |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
8,014 |
7,086 |
$1.97M |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
13,311 |
11,924 |
$1.52M |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
10,553 |
7,243 |
$1.24M |
| A5126 |
Adhesive or non-adhesive; disk or foam pad |
10,930 |
10,185 |
$1.12M |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
12,382 |
10,868 |
$690K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
5,705 |
5,150 |
$507K |
| A7526 |
Tracheostomy tube collar/holder, each |
7,608 |
6,940 |
$498K |
| A4625 |
Tracheostomy care kit for new tracheostomy |
3,462 |
3,158 |
$473K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
26,412 |
25,003 |
$471K |
| A4217 |
Sterile water/saline, 500 ml |
7,218 |
6,553 |
$302K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
8,492 |
7,880 |
$299K |
| E1399 |
Durable medical equipment, miscellaneous |
2,667 |
2,044 |
$289K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
389 |
352 |
$284K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
2,315 |
1,996 |
$258K |
| A7000 |
Canister, disposable, used with suction pump, each |
9,778 |
8,910 |
$191K |
| A4927 |
Gloves, non-sterile, per 100 |
6,228 |
5,529 |
$143K |
| A7008 |
Large volume nebulizer, disposable, prefilled, used with aerosol compressor |
4,963 |
4,515 |
$121K |
| E1372 |
Immersion external heater for nebulizer |
8,632 |
7,920 |
$118K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
6,011 |
5,384 |
$81K |
| E0550 |
Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery |
2,772 |
2,586 |
$80K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
209 |
180 |
$75K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,463 |
3,021 |
$68K |
| E0570 |
Nebulizer, with compressor |
847 |
707 |
$52K |
| A7030 |
Full face mask used with positive airway pressure device, each |
527 |
480 |
$51K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
3,147 |
2,845 |
$45K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
11,425 |
10,571 |
$45K |
| A7012 |
Water collection device, used with large volume nebulizer |
4,707 |
4,146 |
$43K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
155 |
122 |
$43K |
| A4452 |
Tape, waterproof, per 18 square inches |
6,611 |
6,300 |
$42K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
4,206 |
3,875 |
$36K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
24 |
24 |
$34K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
6,326 |
5,661 |
$33K |
| A7525 |
Tracheostomy mask, each |
5,499 |
4,799 |
$29K |
| A7002 |
Tubing, used with suction pump, each |
11,210 |
10,140 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
960 |
828 |
$23K |
| A4402 |
Lubricant, per ounce |
4,302 |
3,931 |
$18K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,103 |
943 |
$18K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
550 |
418 |
$17K |
| A4618 |
Breathing circuits |
3,230 |
2,804 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,063 |
1,850 |
$15K |
| E0619 |
Apnea monitor, with recording feature |
69 |
63 |
$13K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,788 |
2,383 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
173 |
124 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
428 |
389 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
771 |
626 |
$8K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
692 |
545 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
42 |
40 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
128 |
106 |
$628.06 |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
14 |
13 |
$318.48 |
| A4615 |
Cannula, nasal |
96 |
80 |
$36.60 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
18 |
13 |
$32.64 |