| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
2,806 |
1,863 |
$622K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,877 |
3,748 |
$561K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,574 |
2,399 |
$460K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,375 |
1,362 |
$249K |
| A4623 |
Tracheostomy, inner cannula |
1,741 |
1,637 |
$167K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,377 |
1,366 |
$132K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,013 |
1,008 |
$85K |
| A7035 |
Headgear used with positive airway pressure device |
2,765 |
2,716 |
$74K |
| A7037 |
Tubing used with positive airway pressure device |
2,330 |
2,316 |
$58K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,123 |
1,121 |
$58K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,171 |
5,046 |
$42K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
906 |
855 |
$40K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
711 |
703 |
$35K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,960 |
1,954 |
$30K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,091 |
1,019 |
$16K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
708 |
693 |
$16K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,527 |
1,471 |
$11K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,288 |
1,223 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
254 |
251 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
154 |
153 |
$8K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,127 |
1,080 |
$7K |
| A7002 |
Tubing, used with suction pump, each |
1,578 |
1,518 |
$6K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
38 |
38 |
$2K |
| E0570 |
Nebulizer, with compressor |
62 |
62 |
$2K |
| A7012 |
Water collection device, used with large volume nebulizer |
952 |
883 |
$1K |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
37 |
37 |
$556.62 |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
210 |
202 |
$475.65 |
| A7525 |
Tracheostomy mask, each |
190 |
180 |
$438.17 |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
12 |
12 |
$207.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
223 |
221 |
$166.91 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
13 |
12 |
$41.00 |