| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
7,717 |
6,024 |
$5.09M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,971 |
1,964 |
$1.31M |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
3,907 |
3,707 |
$911K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
3,384 |
3,237 |
$863K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
3,018 |
2,894 |
$734K |
| A4217 |
Sterile water/saline, 500 ml |
5,042 |
4,730 |
$572K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
5,770 |
5,601 |
$545K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
5,038 |
4,870 |
$433K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
2,422 |
2,261 |
$411K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
2,145 |
2,038 |
$365K |
| A7526 |
Tracheostomy tube collar/holder, each |
6,117 |
4,621 |
$338K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
1,617 |
1,575 |
$329K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
1,559 |
1,460 |
$224K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
3,064 |
2,244 |
$201K |
| A4623 |
Tracheostomy, inner cannula |
2,357 |
1,950 |
$186K |
| A4605 |
Tracheal suction catheter, closed system, each |
1,362 |
1,283 |
$181K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
1,645 |
1,500 |
$128K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
1,603 |
1,507 |
$116K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
1,324 |
1,275 |
$105K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
5,575 |
5,303 |
$95K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,566 |
5,418 |
$90K |
| A4618 |
Breathing circuits |
4,578 |
4,276 |
$79K |
| A4927 |
Gloves, non-sterile, per 100 |
5,565 |
5,401 |
$71K |
| A4554 |
Disposable underpads, all sizes |
1,702 |
1,667 |
$68K |
| T4533 |
Youth sized disposable incontinence product, brief/diaper, each |
302 |
297 |
$60K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
150 |
147 |
$57K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
2,914 |
2,767 |
$48K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
326 |
317 |
$43K |
| A7000 |
Canister, disposable, used with suction pump, each |
5,550 |
5,218 |
$41K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,615 |
1,494 |
$38K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,031 |
892 |
$35K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
292 |
286 |
$29K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
1,436 |
1,396 |
$27K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
86 |
86 |
$24K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
3,510 |
3,337 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,296 |
1,154 |
$16K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
4,327 |
4,088 |
$14K |
| A4402 |
Lubricant, per ounce |
1,766 |
1,688 |
$11K |
| A7002 |
Tubing, used with suction pump, each |
2,646 |
2,555 |
$10K |
| A7045 |
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
643 |
605 |
$9K |
| A4452 |
Tape, waterproof, per 18 square inches |
904 |
882 |
$8K |
| A4244 |
Alcohol or peroxide, per pint |
1,603 |
1,578 |
$8K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
710 |
319 |
$7K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
51 |
50 |
$6K |
| A7525 |
Tracheostomy mask, each |
1,016 |
914 |
$6K |
| A7020 |
Interface for cough stimulating device, includes all components, replacement only |
482 |
469 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
222 |
207 |
$3K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
860 |
821 |
$2K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
68 |
67 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
63 |
63 |
$2K |
| A7018 |
Water, distilled, used with large volume nebulizer, 1000 ml |
262 |
255 |
$2K |
| E0570 |
Nebulizer, with compressor |
85 |
84 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
2,572 |
2,463 |
$994.90 |
| A7031 |
Face mask interface, replacement for full face mask, each |
40 |
40 |
$865.49 |
| A4616 |
Tubing (oxygen), per foot |
292 |
262 |
$385.41 |
| A4657 |
Syringe, with or without needle, each |
362 |
341 |
$291.00 |
| A7012 |
Water collection device, used with large volume nebulizer |
49 |
48 |
$203.76 |