| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,408 |
1,014 |
$354K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,929 |
1,320 |
$193K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,273 |
3,157 |
$178K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
764 |
666 |
$98K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,378 |
1,855 |
$91K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,599 |
2,872 |
$78K |
| A7002 |
Tubing, used with suction pump, each |
1,601 |
1,246 |
$44K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
596 |
582 |
$43K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
210 |
183 |
$34K |
| B9002 |
Enteral nutrition infusion pump, any type |
534 |
499 |
$30K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
643 |
484 |
$26K |
| B9998 |
Noc for enteral supplies |
686 |
396 |
$25K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
989 |
821 |
$18K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
997 |
850 |
$15K |
| A4927 |
Gloves, non-sterile, per 100 |
755 |
706 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,434 |
1,265 |
$10K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
990 |
809 |
$8K |
| A7526 |
Tracheostomy tube collar/holder, each |
949 |
745 |
$7K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
24 |
13 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
797 |
674 |
$4K |
| A7000 |
Canister, disposable, used with suction pump, each |
344 |
259 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
409 |
243 |
$2K |
| E0570 |
Nebulizer, with compressor |
288 |
266 |
$548.40 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
90 |
67 |
$421.09 |
| A4554 |
Disposable underpads, all sizes |
14 |
12 |
$275.47 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,053 |
816 |
$142.40 |
| A7035 |
Headgear used with positive airway pressure device |
592 |
467 |
$60.60 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
90 |
73 |
$52.91 |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
14 |
13 |
$28.00 |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$0.00 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$0.00 |