| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
6,371 |
3,551 |
$4.77M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
14,562 |
11,989 |
$1.04M |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
7,947 |
6,269 |
$1.04M |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
6,601 |
3,447 |
$917K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,376 |
3,661 |
$638K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,009 |
712 |
$496K |
| S8189 |
Tracheostomy supply, not otherwise classified |
5,321 |
2,590 |
$439K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
4,386 |
2,900 |
$371K |
| 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 |
11,737 |
9,702 |
$334K |
| E0619 |
Apnea monitor, with recording feature |
2,306 |
1,740 |
$331K |
| E0467 |
Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions |
841 |
567 |
$328K |
| A7526 |
Tracheostomy tube collar/holder, each |
4,901 |
3,555 |
$297K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
13,646 |
6,521 |
$282K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
2,197 |
1,144 |
$248K |
| A4605 |
Tracheal suction catheter, closed system, each |
2,956 |
1,982 |
$230K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
6,695 |
3,973 |
$203K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
3,334 |
2,455 |
$126K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
2,274 |
1,498 |
$124K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,161 |
872 |
$93K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
271 |
193 |
$85K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
5,296 |
3,562 |
$84K |
| A7000 |
Canister, disposable, used with suction pump, each |
7,027 |
5,132 |
$78K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
1,484 |
1,089 |
$60K |
| E0570 |
Nebulizer, with compressor |
1,421 |
948 |
$54K |
| A7002 |
Tubing, used with suction pump, each |
6,103 |
4,377 |
$50K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
4,591 |
3,283 |
$49K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,242 |
3,300 |
$46K |
| A7045 |
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
2,681 |
1,490 |
$39K |
| A4927 |
Gloves, non-sterile, per 100 |
3,378 |
2,435 |
$37K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
3,706 |
1,653 |
$35K |
| A7037 |
Tubing used with positive airway pressure device |
1,125 |
805 |
$29K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
1,403 |
919 |
$25K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
7,893 |
5,320 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
912 |
700 |
$22K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
1,439 |
901 |
$13K |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
5,104 |
3,280 |
$13K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
641 |
406 |
$12K |
| A7525 |
Tracheostomy mask, each |
3,658 |
2,268 |
$12K |
| A4618 |
Breathing circuits |
1,507 |
1,060 |
$11K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
407 |
246 |
$11K |
| A4245 |
Alcohol wipes, per box |
2,163 |
1,561 |
$9K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
7,214 |
4,347 |
$8K |
| A4402 |
Lubricant, per ounce |
2,887 |
2,015 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
145 |
99 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
173 |
142 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
671 |
351 |
$5K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,090 |
1,668 |
$3K |
| A4649 |
Surgical supply; miscellaneous |
525 |
368 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
937 |
644 |
$786.47 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
953 |
709 |
$727.46 |
| L8501 |
Tracheostomy speaking valve |
13 |
12 |
$534.10 |
| A4244 |
Alcohol or peroxide, per pint |
394 |
283 |
$516.27 |
| A4210 |
Needle-free injection device, each |
707 |
350 |
$262.81 |
| A4615 |
Cannula, nasal |
25 |
13 |
$38.56 |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
21 |
14 |
$32.71 |
| A4217 |
Sterile water/saline, 500 ml |
99 |
66 |
$0.00 |
| XZERO |
|
196 |
101 |
$0.00 |