| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
2,806 |
1,863 |
$622K |
| E0601 |
Cont airway pressure device |
3,877 |
3,748 |
$561K |
| E0466 |
Home vent non-invasive inter |
2,574 |
2,399 |
$460K |
| E0562 |
Humidifier heated used w pap |
1,375 |
1,362 |
$249K |
| A4623 |
Tracheostomy inner cannula |
1,741 |
1,637 |
$167K |
| A7030 |
Cpap full face mask |
1,377 |
1,366 |
$132K |
| A7034 |
Nasal application device |
1,013 |
1,008 |
$85K |
| A7035 |
Pos airway press headgear |
2,765 |
2,716 |
$74K |
| A7037 |
Pos airway pressure tubing |
2,330 |
2,316 |
$58K |
| A7031 |
Replacement facemask interfa |
1,123 |
1,121 |
$58K |
| A7038 |
Pos airway pressure filter |
5,171 |
5,046 |
$42K |
| A4624 |
Tracheal suction tube |
906 |
855 |
$40K |
| A7033 |
Replacement nasal pillows |
711 |
703 |
$35K |
| A7046 |
Repl water chamber, pap dev |
1,960 |
1,954 |
$30K |
| A7526 |
Tracheostomy tube collar |
1,091 |
1,019 |
$16K |
| E0600 |
Suction pump portab hom modl |
708 |
693 |
$16K |
| A7000 |
Disposable canister for pump |
1,527 |
1,471 |
$11K |
| A6402 |
Sterile gauze <= 16 sq in |
1,288 |
1,223 |
$9K |
| A7032 |
Replacement nasal cushion |
254 |
251 |
$8K |
| A4604 |
Tubing with heating element |
154 |
153 |
$8K |
| A4628 |
Oropharyngeal suction cath |
1,127 |
1,080 |
$7K |
| A7002 |
Tubing used w suction pump |
1,578 |
1,518 |
$6K |
| A4629 |
Tracheostomy care kit |
38 |
38 |
$2K |
| E0570 |
Nebulizer with compression |
62 |
62 |
$2K |
| A7012 |
Nebulizer water collec devic |
952 |
883 |
$1K |
| A7509 |
Heat & moisture exchange sys |
37 |
37 |
$556.62 |
| A7007 |
Lg vol nebulizer disposable |
210 |
202 |
$475.65 |
| A7525 |
Tracheostomy mask |
190 |
180 |
$438.17 |
| E0565 |
Compressor air power source |
12 |
12 |
$207.44 |
| A7003 |
Nebulizer administration set |
223 |
221 |
$166.91 |
| A4216 |
Sterile water/saline, 10 ml |
13 |
12 |
$41.00 |