| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
17,809 |
10,248 |
$12.93M |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
11,695 |
11,150 |
$2.69M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15,005 |
13,932 |
$1.79M |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
9,244 |
8,611 |
$1.55M |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
13,869 |
7,686 |
$1.40M |
| A4605 |
Tracheal suction catheter, closed system, each |
2,357 |
2,326 |
$1.28M |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
3,407 |
3,199 |
$1.22M |
| A7526 |
Tracheostomy tube collar/holder, each |
11,403 |
11,222 |
$1.13M |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
8,609 |
8,450 |
$971K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
5,319 |
5,282 |
$689K |
| B9998 |
Noc for enteral supplies |
5,905 |
5,370 |
$472K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,533 |
6,530 |
$343K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
8,935 |
5,983 |
$328K |
| S8189 |
Tracheostomy supply, not otherwise classified |
647 |
611 |
$314K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
5,792 |
5,710 |
$304K |
| L8501 |
Tracheostomy speaking valve |
3,206 |
3,191 |
$297K |
| A4322 |
Irrigation syringe, bulb or piston, each |
7,956 |
5,368 |
$251K |
| A7000 |
Canister, disposable, used with suction pump, each |
12,759 |
12,637 |
$250K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,356 |
10,658 |
$228K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,365 |
1,312 |
$213K |
| A4623 |
Tracheostomy, inner cannula |
1,128 |
1,115 |
$188K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
816 |
716 |
$172K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
12,535 |
11,023 |
$171K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
11,249 |
9,844 |
$167K |
| A4927 |
Gloves, non-sterile, per 100 |
8,368 |
8,319 |
$163K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
549 |
530 |
$156K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
558 |
512 |
$150K |
| A7002 |
Tubing, used with suction pump, each |
13,645 |
13,467 |
$127K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
2,913 |
2,149 |
$126K |
| 90378 |
|
309 |
218 |
$113K |
| T5999 |
Supply, not otherwise specified |
1,708 |
1,559 |
$106K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
226 |
226 |
$96K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
550 |
545 |
$91K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
61 |
61 |
$64K |
| J0135 |
Injection, adalimumab, 20 mg |
165 |
156 |
$56K |
| A7525 |
Tracheostomy mask, each |
6,229 |
6,142 |
$54K |
| A7504 |
Filter for use in a tracheostoma heat and moisture exchange system, each |
464 |
462 |
$43K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12,571 |
12,469 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
488 |
473 |
$38K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
1,677 |
1,670 |
$37K |
| E0570 |
Nebulizer, with compressor |
355 |
354 |
$37K |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
55 |
50 |
$33K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
61 |
61 |
$27K |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
4,078 |
4,062 |
$22K |
| A4670 |
Automatic blood pressure monitor |
476 |
476 |
$21K |
| J0897 |
Injection, denosumab, 1 mg |
70 |
70 |
$21K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
40 |
40 |
$16K |
| 90750 |
|
45 |
45 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
698 |
690 |
$11K |
| A7012 |
Water collection device, used with large volume nebulizer |
3,244 |
3,222 |
$10K |
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
13 |
12 |
$8K |
| J3490 |
Unclassified drugs |
817 |
791 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
114 |
114 |
$2K |
| B9002 |
Enteral nutrition infusion pump, any type |
12 |
12 |
$2K |
| T4541 |
Incontinence product, disposable underpad, large, each |
74 |
73 |
$890.87 |
| 90677 |
|
112 |
112 |
$796.41 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
17 |
14 |
$386.05 |
| E0607 |
Home blood glucose monitor |
14 |
14 |
$263.25 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
12 |
$30.85 |
| J3111 |
Injection, romosozumab-aqqg, 1 mg |
50 |
47 |
$0.00 |
| J1438 |
Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
13 |
12 |
$0.00 |