| Code | Description | Claims | Beneficiaries | Total Paid |
| E0465 |
Home vent invasive interface |
3,935 |
3,134 |
$3.13M |
| E0466 |
Home vent non-invasive inter |
806 |
644 |
$306K |
| A4606 |
Oxygen probe used w oximeter |
5,186 |
1,433 |
$189K |
| A7520 |
Trach/laryn tube non-cuffed |
2,283 |
1,298 |
$174K |
| A4623 |
Tracheostomy inner cannula |
955 |
867 |
$144K |
| A7526 |
Tracheostomy tube collar |
2,467 |
2,283 |
$142K |
| A4624 |
Tracheal suction tube |
2,090 |
1,835 |
$125K |
| A7521 |
Trach/laryn tube cuffed |
2,485 |
1,366 |
$98K |
| A4605 |
Trach suction cath close sys |
280 |
261 |
$95K |
| A4216 |
Sterile water/saline, 10 ml |
2,035 |
1,746 |
$84K |
| E0600 |
Suction pump portab hom modl |
1,948 |
1,869 |
$77K |
| A4629 |
Tracheostomy care kit |
1,126 |
1,034 |
$67K |
| E0445 |
Oximeter non-invasive |
189 |
176 |
$60K |
| A4927 |
Non-sterile gloves |
2,157 |
1,816 |
$41K |
| A7507 |
Integrated filter & holder |
649 |
584 |
$35K |
| E0601 |
Cont airway pressure device |
353 |
332 |
$22K |
| A7046 |
Repl water chamber, pap dev |
1,498 |
1,369 |
$21K |
| A4628 |
Oropharyngeal suction cath |
1,395 |
1,251 |
$16K |
| A7000 |
Disposable canister for pump |
2,709 |
2,521 |
$12K |
| A6402 |
Sterile gauze <= 16 sq in |
1,393 |
1,221 |
$10K |
| A7002 |
Tubing used w suction pump |
2,628 |
2,435 |
$8K |
| A4483 |
Moisture exchanger |
97 |
77 |
$7K |
| L8501 |
Tracheostomy speaking valve |
102 |
93 |
$5K |
| A6216 |
Non-sterile gauze<=16 sq in |
427 |
378 |
$3K |
| A7003 |
Nebulizer administration set |
1,213 |
1,119 |
$3K |
| A9901 |
Delivery/set up/dispensing |
257 |
91 |
$2K |
| A7525 |
Tracheostomy mask |
770 |
706 |
$2K |
| E0565 |
Compressor air power source |
13 |
12 |
$1K |
| E0570 |
Nebulizer with compression |
85 |
82 |
$584.09 |
| A7007 |
Lg vol nebulizer disposable |
90 |
86 |
$298.51 |
| A7012 |
Nebulizer water collec devic |
110 |
106 |
$272.82 |