| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
425 |
356 |
$169K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
102 |
75 |
$49K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
122 |
91 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
31 |
24 |
$509.84 |
| A4481 |
Tracheostoma filter, any type, any size, each |
27 |
25 |
$509.49 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
12 |
12 |
$350.12 |
| A7526 |
Tracheostomy tube collar/holder, each |
12 |
12 |
$200.85 |
| E0550 |
Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery |
42 |
38 |
$183.20 |
| A7037 |
Tubing used with positive airway pressure device |
16 |
14 |
$154.39 |