| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
3,480 |
1,859 |
$1.73M |
| E0466 |
Home vent non-invasive inter |
3,813 |
2,298 |
$1.41M |
| E1390 |
Oxygen concentrator |
2,695 |
2,099 |
$196K |
| B4035 |
Enteral feed supp pump per d |
1,401 |
697 |
$152K |
| A4629 |
Tracheostomy care kit |
2,307 |
1,619 |
$132K |
| A7526 |
Tracheostomy tube collar |
2,138 |
1,565 |
$99K |
| E0445 |
Oximeter non-invasive |
839 |
657 |
$95K |
| E0467 |
Home vent multi-function |
173 |
89 |
$95K |
| A4606 |
Oxygen probe used w oximeter |
2,664 |
1,222 |
$62K |
| A4624 |
Tracheal suction tube |
555 |
393 |
$51K |
| B9998 |
Enteral supp not otherwise c |
2,015 |
775 |
$51K |
| E0600 |
Suction pump portab hom modl |
1,542 |
1,165 |
$43K |
| E0601 |
Cont airway pressure device |
1,254 |
955 |
$39K |
| A4605 |
Trach suction cath close sys |
432 |
303 |
$22K |
| E0562 |
Humidifier heated used w pap |
2,007 |
1,513 |
$17K |
| S8189 |
Trach supply noc |
165 |
53 |
$13K |
| A4628 |
Oropharyngeal suction cath |
1,197 |
904 |
$12K |
| A7002 |
Tubing used w suction pump |
2,224 |
1,598 |
$9K |
| B4161 |
Ef ped hydrolyzed/amino acid |
17 |
12 |
$8K |
| E0431 |
Portable gaseous 02 |
680 |
514 |
$8K |
| A4618 |
Breathing circuits |
1,164 |
816 |
$7K |
| A7520 |
Trach/laryn tube non-cuffed |
82 |
65 |
$5K |
| A7001 |
Nondisposable pump canister |
284 |
163 |
$5K |
| A7003 |
Nebulizer administration set |
2,258 |
1,607 |
$4K |
| A7046 |
Repl water chamber, pap dev |
317 |
198 |
$3K |
| A7000 |
Disposable canister for pump |
302 |
234 |
$2K |
| A7038 |
Pos airway pressure filter |
640 |
481 |
$2K |
| A4604 |
Tubing with heating element |
73 |
52 |
$2K |
| A7521 |
Trach/laryn tube cuffed |
54 |
37 |
$2K |
| A4483 |
Moisture exchanger |
18 |
13 |
$1K |
| A4623 |
Tracheostomy inner cannula |
21 |
12 |
$782.09 |
| A7035 |
Pos airway press headgear |
59 |
40 |
$595.73 |
| A7525 |
Tracheostomy mask |
197 |
143 |
$446.20 |
| A6402 |
Sterile gauze <= 16 sq in |
21 |
12 |
$200.31 |
| A4649 |
Surgical supplies |
94 |
64 |
$196.64 |