| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,408 |
1,014 |
$354K |
| E0466 |
Home vent non-invasive inter |
1,929 |
1,320 |
$193K |
| E1390 |
Oxygen concentrator |
4,273 |
3,157 |
$178K |
| B4035 |
Enteral feed supp pump per d |
764 |
666 |
$98K |
| E0431 |
Portable gaseous 02 |
2,378 |
1,855 |
$91K |
| E0601 |
Cont airway pressure device |
3,599 |
2,872 |
$78K |
| A7002 |
Tubing used w suction pump |
1,601 |
1,246 |
$44K |
| E0445 |
Oximeter non-invasive |
596 |
582 |
$43K |
| A4624 |
Tracheal suction tube |
210 |
183 |
$34K |
| B9002 |
Enter nutr inf pump any type |
534 |
499 |
$30K |
| A4629 |
Tracheostomy care kit |
643 |
484 |
$26K |
| B9998 |
Enteral supp not otherwise c |
686 |
396 |
$25K |
| E0600 |
Suction pump portab hom modl |
989 |
821 |
$18K |
| A6402 |
Sterile gauze <= 16 sq in |
997 |
850 |
$15K |
| A4927 |
Non-sterile gloves |
755 |
706 |
$11K |
| E0562 |
Humidifier heated used w pap |
1,434 |
1,265 |
$10K |
| A4216 |
Sterile water/saline, 10 ml |
990 |
809 |
$8K |
| A7526 |
Tracheostomy tube collar |
949 |
745 |
$7K |
| A9900 |
Supply/accessory/service |
24 |
13 |
$4K |
| A7003 |
Nebulizer administration set |
797 |
674 |
$4K |
| A7000 |
Disposable canister for pump |
344 |
259 |
$2K |
| E1392 |
Portable oxygen concentrator |
409 |
243 |
$2K |
| E0570 |
Nebulizer with compression |
288 |
266 |
$548.40 |
| A7034 |
Nasal application device |
90 |
67 |
$421.09 |
| A4554 |
Disposable underpads |
14 |
12 |
$275.47 |
| A7038 |
Pos airway pressure filter |
1,053 |
816 |
$142.40 |
| A7035 |
Pos airway press headgear |
592 |
467 |
$60.60 |
| A4604 |
Tubing with heating element |
90 |
73 |
$52.91 |
| A4606 |
Oxygen probe used w oximeter |
14 |
13 |
$28.00 |
| A7030 |
Cpap full face mask |
13 |
13 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$0.00 |