| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,915 |
1,404 |
$796K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,700 |
2,846 |
$638K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,082 |
979 |
$154K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
301 |
257 |
$72K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
610 |
449 |
$67K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
396 |
328 |
$38K |
| A7526 |
Tracheostomy tube collar/holder, each |
786 |
659 |
$29K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
224 |
221 |
$21K |
| A7002 |
Tubing, used with suction pump, each |
1,326 |
1,069 |
$20K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,127 |
885 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
691 |
659 |
$13K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
806 |
606 |
$10K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
373 |
316 |
$9K |
| A4217 |
Sterile water/saline, 500 ml |
242 |
210 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
730 |
652 |
$6K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
298 |
246 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
185 |
168 |
$4K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
12 |
12 |
$47.43 |