| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,759 |
975 |
$1.29M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
19,267 |
17,340 |
$888K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
2,496 |
1,411 |
$224K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,610 |
13,127 |
$161K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
728 |
662 |
$93K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
6,668 |
1,657 |
$84K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,794 |
2,499 |
$69K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
699 |
620 |
$55K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,927 |
1,705 |
$46K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
706 |
357 |
$38K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
985 |
844 |
$37K |
| K0001 |
Standard wheelchair |
3,137 |
2,805 |
$36K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,047 |
915 |
$33K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
632 |
544 |
$28K |
| A7002 |
Tubing, used with suction pump, each |
1,867 |
1,655 |
$18K |
| E1392 |
Portable oxygen concentrator, rental |
1,144 |
1,034 |
$18K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
515 |
476 |
$14K |
| E0570 |
Nebulizer, with compressor |
701 |
605 |
$14K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
982 |
834 |
$11K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,258 |
1,117 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
631 |
558 |
$7K |
| E0277 |
Powered pressure-reducing air mattress |
44 |
37 |
$4K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
83 |
75 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
220 |
166 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
29 |
25 |
$2K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
54 |
49 |
$1K |
| E0156 |
Seat attachment, walker |
58 |
56 |
$482.71 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
64 |
62 |
$261.28 |
| A7525 |
Tracheostomy mask, each |
92 |
64 |
$83.22 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
46 |
38 |
$70.97 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
13 |
$8.11 |