| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
5,010 |
4,930 |
$514K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
503 |
488 |
$117K |
| B9998 |
Noc for enteral supplies |
1,045 |
787 |
$89K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,281 |
4,180 |
$81K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
720 |
666 |
$63K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
382 |
338 |
$37K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
1,362 |
347 |
$35K |
| A7000 |
Canister, disposable, used with suction pump, each |
933 |
914 |
$21K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
133 |
128 |
$18K |
| A7002 |
Tubing, used with suction pump, each |
785 |
765 |
$11K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
962 |
593 |
$8K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
309 |
302 |
$6K |
| A4322 |
Irrigation syringe, bulb or piston, each |
556 |
529 |
$5K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
862 |
834 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,289 |
1,242 |
$4K |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
329 |
318 |
$927.46 |
| A7015 |
Aerosol mask, used with dme nebulizer |
326 |
309 |
$316.15 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
13 |
12 |
$222.03 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$6.16 |