| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,570 |
733 |
$702K |
| E0466 |
Home vent non-invasive inter |
1,304 |
917 |
$583K |
| E1390 |
Oxygen concentrator |
2,527 |
2,117 |
$133K |
| A4624 |
Tracheal suction tube |
880 |
606 |
$121K |
| A7526 |
Tracheostomy tube collar |
1,130 |
818 |
$58K |
| A7507 |
Integrated filter & holder |
803 |
586 |
$37K |
| B4035 |
Enteral feed supp pump per d |
140 |
100 |
$26K |
| E0431 |
Portable gaseous 02 |
1,939 |
1,637 |
$25K |
| A7520 |
Trach/laryn tube non-cuffed |
340 |
184 |
$23K |
| A7000 |
Disposable canister for pump |
1,333 |
1,025 |
$21K |
| A4606 |
Oxygen probe used w oximeter |
414 |
261 |
$12K |
| E0600 |
Suction pump portab hom modl |
457 |
377 |
$11K |
| A4628 |
Oropharyngeal suction cath |
882 |
633 |
$11K |
| A7002 |
Tubing used w suction pump |
1,424 |
1,081 |
$6K |
| A4927 |
Non-sterile gloves |
699 |
513 |
$5K |
| A7003 |
Nebulizer administration set |
799 |
643 |
$2K |
| A4629 |
Tracheostomy care kit |
16 |
12 |
$1K |
| A7525 |
Tracheostomy mask |
248 |
212 |
$803.04 |
| A4216 |
Sterile water/saline, 10 ml |
73 |
55 |
$234.87 |
| A7007 |
Lg vol nebulizer disposable |
52 |
39 |
$222.23 |
| A7020 |
Interface, cough stim device |
13 |
13 |
$132.20 |
| A7015 |
Aerosol mask used w nebulize |
16 |
13 |
$19.20 |