| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
10,512 |
6,605 |
$5.79M |
| E0466 |
Home vent non-invasive inter |
4,401 |
3,452 |
$2.13M |
| E1390 |
Oxygen concentrator |
20,353 |
16,555 |
$1.53M |
| E0445 |
Oximeter non-invasive |
6,253 |
5,131 |
$1.27M |
| A7520 |
Trach/laryn tube non-cuffed |
4,661 |
2,756 |
$853K |
| A4483 |
Moisture exchanger |
8,224 |
3,738 |
$843K |
| Y2032 |
|
2,789 |
1,948 |
$607K |
| A4605 |
Trach suction cath close sys |
4,356 |
2,697 |
$370K |
| A4606 |
Oxygen probe used w oximeter |
20,704 |
7,539 |
$368K |
| A4217 |
Sterile water/saline, 500 ml |
4,848 |
3,368 |
$285K |
| A4604 |
Tubing with heating element |
3,522 |
1,799 |
$282K |
| A7526 |
Tracheostomy tube collar |
7,781 |
5,139 |
$279K |
| E0431 |
Portable gaseous 02 |
11,322 |
9,661 |
$273K |
| A4624 |
Tracheal suction tube |
4,099 |
2,789 |
$248K |
| E0471 |
Rad w/backup non inv intrfc |
904 |
699 |
$192K |
| S8189 |
Trach supply noc |
1,674 |
803 |
$173K |
| A7521 |
Trach/laryn tube cuffed |
1,884 |
765 |
$151K |
| E0482 |
Cough stimulating device |
703 |
533 |
$148K |
| E0619 |
Apnea monitor w recorder |
871 |
696 |
$137K |
| E0600 |
Suction pump portab hom modl |
2,623 |
2,020 |
$132K |
| E0601 |
Cont airway pressure device |
1,886 |
1,711 |
$95K |
| A7000 |
Disposable canister for pump |
9,806 |
6,982 |
$94K |
| A7046 |
Repl water chamber, pap dev |
3,918 |
2,149 |
$84K |
| A4556 |
Electrodes, pair |
1,009 |
532 |
$82K |
| A6402 |
Sterile gauze <= 16 sq in |
6,976 |
4,685 |
$79K |
| B4035 |
Enteral feed supp pump per d |
742 |
499 |
$75K |
| A4629 |
Tracheostomy care kit |
1,943 |
1,191 |
$69K |
| K0738 |
Portable gas oxygen system |
3,231 |
2,607 |
$66K |
| A7002 |
Tubing used w suction pump |
9,144 |
6,627 |
$58K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,188 |
794 |
$51K |
| E1399 |
Durable medical equipment mi |
274 |
198 |
$46K |
| A4927 |
Non-sterile gloves |
4,857 |
3,556 |
$45K |
| E0562 |
Humidifier heated used w pap |
1,072 |
749 |
$41K |
| A4628 |
Oropharyngeal suction cath |
6,736 |
4,911 |
$40K |
| E0570 |
Nebulizer with compression |
795 |
518 |
$35K |
| B9998 |
Enteral supp not otherwise c |
1,077 |
536 |
$34K |
| A4216 |
Sterile water/saline, 10 ml |
2,017 |
1,680 |
$29K |
| E0565 |
Compressor air power source |
485 |
413 |
$28K |
| A4623 |
Tracheostomy inner cannula |
787 |
417 |
$26K |
| A7038 |
Pos airway pressure filter |
5,072 |
3,438 |
$25K |
| A7037 |
Pos airway pressure tubing |
1,966 |
1,244 |
$25K |
| A7003 |
Nebulizer administration set |
8,905 |
4,426 |
$19K |
| E0467 |
Home vent multi-function |
85 |
50 |
$18K |
| A6257 |
Transparent film <= 16 sq in |
2,141 |
1,562 |
$15K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
472 |
410 |
$14K |
| A7034 |
Nasal application device |
410 |
269 |
$14K |
| E0470 |
Rad w/o backup non-inv intfc |
126 |
106 |
$11K |
| A7035 |
Pos airway press headgear |
503 |
399 |
$8K |
| A4245 |
Alcohol wipes per box |
1,162 |
761 |
$8K |
| A4618 |
Breathing circuits |
1,444 |
810 |
$7K |
| A7525 |
Tracheostomy mask |
3,719 |
1,724 |
$7K |
| B9002 |
Enter nutr inf pump any type |
71 |
56 |
$6K |
| B4088 |
Gastro/jejuno tube, low-pro |
69 |
63 |
$5K |
| A4557 |
Lead wires, pair |
788 |
406 |
$5K |
| A7030 |
Cpap full face mask |
79 |
57 |
$4K |
| A4402 |
Lubricant per ounce |
2,167 |
1,563 |
$4K |
| A7045 |
Repl exhalation port for pap |
358 |
202 |
$3K |
| A4209 |
5+ cc sterile syringe&needle |
1,076 |
682 |
$3K |
| A4627 |
Spacer bag/reservoir |
188 |
108 |
$3K |
| A4450 |
Non-waterproof tape |
1,960 |
1,330 |
$3K |
| A4616 |
Tubing (oxygen) per foot |
102 |
59 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
2,186 |
1,055 |
$3K |
| A7007 |
Lg vol nebulizer disposable |
710 |
290 |
$2K |
| A7032 |
Replacement nasal cushion |
167 |
123 |
$2K |
| A4452 |
Waterproof tape |
298 |
244 |
$2K |
| A6258 |
Transparent film >16<=48 in |
63 |
57 |
$2K |
| L8501 |
Tracheostomy speaking valve |
36 |
26 |
$2K |
| A6216 |
Non-sterile gauze<=16 sq in |
245 |
158 |
$1K |
| A6453 |
Self-adher band w <3"/yd |
557 |
440 |
$947.50 |
| A4615 |
Cannula nasal |
1,040 |
560 |
$925.80 |
| A4208 |
3 cc sterile syringe&needle |
189 |
145 |
$919.29 |
| A7012 |
Nebulizer water collec devic |
486 |
190 |
$829.87 |
| A4244 |
Alcohol or peroxide per pint |
171 |
110 |
$431.50 |
| A7039 |
Filter, non disposable w pap |
61 |
54 |
$377.01 |
| A4213 |
20+ cc syringe only |
228 |
176 |
$281.21 |
| A7018 |
Water distilled w/nebulizer |
26 |
25 |
$22.75 |
| A7013 |
Disposable compressor filter |
45 |
27 |
$21.38 |
| XZERO |
|
17 |
12 |
$0.00 |