| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
8,977 |
5,499 |
$1.65M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
40,410 |
26,541 |
$868K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
920 |
661 |
$375K |
| E0601 |
Continuous positive airway pressure (cpap) device |
14,460 |
11,130 |
$322K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
2,592 |
1,811 |
$141K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,376 |
3,262 |
$131K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
7,379 |
4,334 |
$130K |
| 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 |
11,464 |
7,641 |
$99K |
| A7526 |
Tracheostomy tube collar/holder, each |
2,032 |
1,248 |
$97K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,262 |
4,253 |
$79K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
1,375 |
856 |
$62K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,949 |
2,981 |
$60K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,593 |
2,156 |
$57K |
| E1392 |
Portable oxygen concentrator, rental |
9,127 |
6,001 |
$55K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,048 |
2,597 |
$54K |
| A7035 |
Headgear used with positive airway pressure device |
8,298 |
4,976 |
$45K |
| 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) |
1,706 |
1,023 |
$43K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
3,813 |
2,570 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,510 |
3,946 |
$35K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
6,237 |
3,687 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
8,208 |
4,812 |
$31K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
679 |
382 |
$26K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,604 |
1,386 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,500 |
7,544 |
$25K |
| A7000 |
Canister, disposable, used with suction pump, each |
2,277 |
1,328 |
$21K |
| E0570 |
Nebulizer, with compressor |
3,474 |
2,570 |
$20K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
390 |
311 |
$12K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
538 |
288 |
$11K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
585 |
378 |
$4K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
214 |
127 |
$4K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
138 |
97 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,915 |
1,136 |
$3K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
77 |
24 |
$3K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
18 |
12 |
$2K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
35 |
24 |
$954.30 |
| A7525 |
Tracheostomy mask, each |
367 |
221 |
$476.77 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
37 |
28 |
$315.39 |
| A7036 |
Chinstrap used with positive airway pressure device |
161 |
85 |
$302.72 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
17 |
12 |
$278.73 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
186 |
116 |
$244.04 |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
14 |
12 |
$51.48 |
| E0444 |
Portable oxygen contents, liquid, 1 month's supply = 1 unit |
143 |
129 |
$33.43 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
175 |
126 |
$28.88 |