| Code | Description | Claims | Beneficiaries | Total Paid |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,570 |
733 |
$702K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,304 |
917 |
$583K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,527 |
2,117 |
$133K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
880 |
606 |
$121K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,130 |
818 |
$58K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
803 |
586 |
$37K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
140 |
100 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,939 |
1,637 |
$25K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
340 |
184 |
$23K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,333 |
1,025 |
$21K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
414 |
261 |
$12K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
457 |
377 |
$11K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
882 |
633 |
$11K |
| A7002 |
Tubing, used with suction pump, each |
1,424 |
1,081 |
$6K |
| A4927 |
Gloves, non-sterile, per 100 |
699 |
513 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
799 |
643 |
$2K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
16 |
12 |
$1K |
| A7525 |
Tracheostomy mask, each |
248 |
212 |
$803.04 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
73 |
55 |
$234.87 |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
52 |
39 |
$222.23 |
| A7020 |
Interface for cough stimulating device, includes all components, replacement only |
13 |
13 |
$132.20 |
| A7015 |
Aerosol mask, used with dme nebulizer |
16 |
13 |
$19.20 |