| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
2,394 |
1,237 |
$1.40M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,694 |
1,118 |
$956K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15,345 |
13,436 |
$931K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,179 |
2,810 |
$196K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
2,252 |
1,632 |
$181K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,474 |
10,056 |
$165K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
506 |
307 |
$141K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
3,950 |
2,374 |
$113K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,481 |
3,115 |
$50K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
591 |
424 |
$46K |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
1,332 |
1,006 |
$45K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,914 |
1,465 |
$44K |
| A7030 |
Full face mask used with positive airway pressure device, each |
447 |
405 |
$37K |
| S8189 |
Tracheostomy supply, not otherwise classified |
522 |
213 |
$34K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
999 |
733 |
$27K |
| A7000 |
Canister, disposable, used with suction pump, each |
2,468 |
1,911 |
$25K |
| E0619 |
Apnea monitor, with recording feature |
125 |
114 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,235 |
1,102 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,221 |
1,098 |
$13K |
| A7002 |
Tubing, used with suction pump, each |
2,568 |
1,994 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
87 |
69 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,060 |
940 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
641 |
572 |
$3K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
1,270 |
908 |
$2K |
| E1399 |
Durable medical equipment, miscellaneous |
187 |
101 |
$928.24 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
118 |
89 |
$528.58 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
96 |
51 |
$320.17 |
| A7525 |
Tracheostomy mask, each |
378 |
227 |
$286.93 |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
36 |
24 |
$162.26 |