| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
2,394 |
1,237 |
$1.40M |
| E0466 |
Home vent non-invasive inter |
1,694 |
1,118 |
$956K |
| E1390 |
Oxygen concentrator |
15,345 |
13,436 |
$931K |
| E0601 |
Cont airway pressure device |
3,179 |
2,810 |
$196K |
| A4624 |
Tracheal suction tube |
2,252 |
1,632 |
$181K |
| E0431 |
Portable gaseous 02 |
11,474 |
10,056 |
$165K |
| E0445 |
Oximeter non-invasive |
506 |
307 |
$141K |
| A4606 |
Oxygen probe used w oximeter |
3,950 |
2,374 |
$113K |
| E0562 |
Humidifier heated used w pap |
3,481 |
3,115 |
$50K |
| A4629 |
Tracheostomy care kit |
591 |
424 |
$46K |
| A7509 |
Heat & moisture exchange sys |
1,332 |
1,006 |
$45K |
| A7526 |
Tracheostomy tube collar |
1,914 |
1,465 |
$44K |
| A7030 |
Cpap full face mask |
447 |
405 |
$37K |
| S8189 |
Trach supply noc |
522 |
213 |
$34K |
| E0443 |
Portable 02 contents, gas |
999 |
733 |
$27K |
| A7000 |
Disposable canister for pump |
2,468 |
1,911 |
$25K |
| E0619 |
Apnea monitor w recorder |
125 |
114 |
$24K |
| A7035 |
Pos airway press headgear |
1,235 |
1,102 |
$19K |
| A7037 |
Pos airway pressure tubing |
1,221 |
1,098 |
$13K |
| A7002 |
Tubing used w suction pump |
2,568 |
1,994 |
$10K |
| A7034 |
Nasal application device |
87 |
69 |
$4K |
| A7038 |
Pos airway pressure filter |
1,060 |
940 |
$3K |
| A7039 |
Filter, non disposable w pap |
641 |
572 |
$3K |
| A7004 |
Disposable nebulizer sml vol |
1,270 |
908 |
$2K |
| E1399 |
Durable medical equipment mi |
187 |
101 |
$928.24 |
| A4628 |
Oropharyngeal suction cath |
118 |
89 |
$528.58 |
| A6402 |
Sterile gauze <= 16 sq in |
96 |
51 |
$320.17 |
| A7525 |
Tracheostomy mask |
378 |
227 |
$286.93 |
| A7007 |
Lg vol nebulizer disposable |
36 |
24 |
$162.26 |