| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
6,371 |
3,551 |
$4.77M |
| E1390 |
Oxygen concentrator |
14,562 |
11,989 |
$1.04M |
| E0445 |
Oximeter non-invasive |
7,947 |
6,269 |
$1.04M |
| A4483 |
Moisture exchanger |
6,601 |
3,447 |
$917K |
| A4604 |
Tubing with heating element |
6,376 |
3,661 |
$638K |
| E0466 |
Home vent non-invasive inter |
1,009 |
712 |
$496K |
| S8189 |
Trach supply noc |
5,321 |
2,590 |
$439K |
| A4624 |
Tracheal suction tube |
4,386 |
2,900 |
$371K |
| K0738 |
Portable gas oxygen system |
11,737 |
9,702 |
$334K |
| E0619 |
Apnea monitor w recorder |
2,306 |
1,740 |
$331K |
| E0467 |
Home vent multi-function |
841 |
567 |
$328K |
| A7526 |
Tracheostomy tube collar |
4,901 |
3,555 |
$297K |
| A4606 |
Oxygen probe used w oximeter |
13,646 |
6,521 |
$282K |
| A4556 |
Electrodes, pair |
2,197 |
1,144 |
$248K |
| A4605 |
Trach suction cath close sys |
2,956 |
1,982 |
$230K |
| A7046 |
Repl water chamber, pap dev |
6,695 |
3,973 |
$203K |
| E0600 |
Suction pump portab hom modl |
3,334 |
2,455 |
$126K |
| A4629 |
Tracheostomy care kit |
2,274 |
1,498 |
$124K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,161 |
872 |
$93K |
| E0482 |
Cough stimulating device |
271 |
193 |
$85K |
| A6402 |
Sterile gauze <= 16 sq in |
5,296 |
3,562 |
$84K |
| A7000 |
Disposable canister for pump |
7,027 |
5,132 |
$78K |
| E0565 |
Compressor air power source |
1,484 |
1,089 |
$60K |
| E0570 |
Nebulizer with compression |
1,421 |
948 |
$54K |
| A7002 |
Tubing used w suction pump |
6,103 |
4,377 |
$50K |
| A4628 |
Oropharyngeal suction cath |
4,591 |
3,283 |
$49K |
| A7038 |
Pos airway pressure filter |
5,242 |
3,300 |
$46K |
| A7045 |
Repl exhalation port for pap |
2,681 |
1,490 |
$39K |
| A4927 |
Non-sterile gloves |
3,378 |
2,435 |
$37K |
| A6257 |
Transparent film <= 16 sq in |
3,706 |
1,653 |
$35K |
| A7037 |
Pos airway pressure tubing |
1,125 |
805 |
$29K |
| A4627 |
Spacer bag/reservoir |
1,403 |
919 |
$25K |
| A7003 |
Nebulizer administration set |
7,893 |
5,320 |
$23K |
| E0562 |
Humidifier heated used w pap |
912 |
700 |
$22K |
| A4557 |
Lead wires, pair |
1,439 |
901 |
$13K |
| A6453 |
Self-adher band w <3"/yd |
5,104 |
3,280 |
$13K |
| A7521 |
Trach/laryn tube cuffed |
641 |
406 |
$12K |
| A7525 |
Tracheostomy mask |
3,658 |
2,268 |
$12K |
| A4618 |
Breathing circuits |
1,507 |
1,060 |
$11K |
| A7520 |
Trach/laryn tube non-cuffed |
407 |
246 |
$11K |
| A4245 |
Alcohol wipes per box |
2,163 |
1,561 |
$9K |
| A4450 |
Non-waterproof tape |
7,214 |
4,347 |
$8K |
| A4402 |
Lubricant per ounce |
2,887 |
2,015 |
$8K |
| A7034 |
Nasal application device |
145 |
99 |
$7K |
| E0601 |
Cont airway pressure device |
173 |
142 |
$7K |
| A7039 |
Filter, non disposable w pap |
671 |
351 |
$5K |
| A7015 |
Aerosol mask used w nebulize |
3,090 |
1,668 |
$3K |
| A4649 |
Surgical supplies |
525 |
368 |
$2K |
| A7013 |
Disposable compressor filter |
937 |
644 |
$786.47 |
| A4209 |
5+ cc sterile syringe&needle |
953 |
709 |
$727.46 |
| L8501 |
Tracheostomy speaking valve |
13 |
12 |
$534.10 |
| A4244 |
Alcohol or peroxide per pint |
394 |
283 |
$516.27 |
| A4210 |
Nonneedle injection device |
707 |
350 |
$262.81 |
| A4615 |
Cannula nasal |
25 |
13 |
$38.56 |
| A7007 |
Lg vol nebulizer disposable |
21 |
14 |
$32.71 |
| A4217 |
Sterile water/saline, 500 ml |
99 |
66 |
$0.00 |
| XZERO |
|
196 |
101 |
$0.00 |