| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4606 |
Oxygen probe for use with oximeter device, replacement |
19,393 |
4,511 |
$2.93M |
| E0619 |
Apnea monitor, with recording feature |
583 |
508 |
$255K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,611 |
1,473 |
$213K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
414 |
387 |
$95K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
3,298 |
1,949 |
$57K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
3,277 |
1,952 |
$55K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,556 |
1,293 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,503 |
1,391 |
$21K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
81 |
63 |
$15K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,194 |
1,046 |
$10K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
1,064 |
1,012 |
$9K |
| A7002 |
Tubing, used with suction pump, each |
1,197 |
1,055 |
$8K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
45 |
39 |
$8K |
| A4605 |
Tracheal suction catheter, closed system, each |
14 |
12 |
$6K |
| E0555 |
Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter |
1,562 |
1,226 |
$5K |
| B9998 |
Noc for enteral supplies |
178 |
113 |
$5K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
1,176 |
643 |
$2K |
| A7526 |
Tracheostomy tube collar/holder, each |
62 |
49 |
$2K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
239 |
221 |
$2K |
| A4616 |
Tubing (oxygen), per foot |
1,831 |
1,572 |
$2K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
194 |
176 |
$1K |
| A4615 |
Cannula, nasal |
2,451 |
1,283 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
517 |
448 |
$1K |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
43 |
36 |
$174.62 |
| A4629 |
Tracheostomy care kit for established tracheostomy |
14 |
12 |
$153.24 |
| A7015 |
Aerosol mask, used with dme nebulizer |
101 |
79 |
$102.00 |
| A7012 |
Water collection device, used with large volume nebulizer |
16 |
12 |
$35.77 |
| A7525 |
Tracheostomy mask, each |
72 |
36 |
$35.09 |