| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
6,931 |
5,769 |
$8.39M |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
5,794 |
5,743 |
$1.65M |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
42,287 |
8,092 |
$1.64M |
| A4605 |
Tracheal suction catheter, closed system, each |
3,544 |
3,534 |
$1.57M |
| E0481 |
Intrapulmonary percussive ventilation system and related accessories |
1,298 |
1,286 |
$1.34M |
| E1399 |
Durable medical equipment, miscellaneous |
6,293 |
5,921 |
$1.32M |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
5,906 |
5,846 |
$1.26M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,936 |
7,006 |
$976K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
5,152 |
5,124 |
$916K |
| A7526 |
Tracheostomy tube collar/holder, each |
6,424 |
6,392 |
$858K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
7,767 |
6,527 |
$440K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
411 |
359 |
$294K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,006 |
1,991 |
$277K |
| A7000 |
Canister, disposable, used with suction pump, each |
7,090 |
7,066 |
$260K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
5,092 |
5,080 |
$244K |
| A4322 |
Irrigation syringe, bulb or piston, each |
1,783 |
1,781 |
$183K |
| L8501 |
Tracheostomy speaking valve |
1,692 |
1,682 |
$178K |
| B9998 |
Noc for enteral supplies |
2,226 |
2,199 |
$169K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,152 |
6,286 |
$159K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
6,679 |
6,662 |
$150K |
| A4927 |
Gloves, non-sterile, per 100 |
6,456 |
6,447 |
$141K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
6,537 |
6,519 |
$136K |
| A7002 |
Tubing, used with suction pump, each |
7,227 |
7,208 |
$122K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,969 |
1,969 |
$93K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
196 |
196 |
$27K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
173 |
173 |
$16K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
157 |
138 |
$16K |
| A7525 |
Tracheostomy mask, each |
1,958 |
1,957 |
$13K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
648 |
646 |
$13K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
36 |
36 |
$3K |
| A4402 |
Lubricant, per ounce |
479 |
479 |
$1K |