| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
11,599 |
9,111 |
$9.54M |
| E1399 |
Durable medical equipment mi |
4,576 |
4,333 |
$1.93M |
| S8189 |
Trach supply noc |
11,127 |
9,676 |
$1.72M |
| A4624 |
Tracheal suction tube |
8,877 |
8,400 |
$1.41M |
| B4035 |
Enteral feed supp pump per d |
8,177 |
6,972 |
$1.32M |
| A4606 |
Oxygen probe used w oximeter |
6,856 |
5,971 |
$1.26M |
| E0445 |
Oximeter non-invasive |
3,718 |
3,655 |
$1.05M |
| E1390 |
Oxygen concentrator |
8,688 |
8,514 |
$1.02M |
| A4649 |
Surgical supplies |
8,123 |
6,835 |
$765K |
| E0466 |
Home vent non-invasive inter |
1,236 |
1,147 |
$683K |
| A7526 |
Tracheostomy tube collar |
10,810 |
10,438 |
$595K |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,377 |
1,288 |
$503K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,180 |
2,835 |
$466K |
| B4088 |
Gastro/jejuno tube, low-pro |
3,589 |
3,470 |
$356K |
| A4629 |
Tracheostomy care kit |
5,108 |
4,965 |
$346K |
| B4087 |
Gastro/jejuno tube, std |
7,150 |
6,172 |
$346K |
| A4927 |
Non-sterile gloves |
14,591 |
13,754 |
$299K |
| B4149 |
Ef blenderized foods |
1,057 |
968 |
$287K |
| A7520 |
Trach/laryn tube non-cuffed |
5,244 |
4,859 |
$273K |
| E0431 |
Portable gaseous 02 |
8,094 |
7,957 |
$188K |
| E0600 |
Suction pump portab hom modl |
6,230 |
5,823 |
$156K |
| L8501 |
Tracheostomy speaking valve |
2,338 |
2,259 |
$154K |
| B9002 |
Enter nutr inf pump any type |
2,758 |
2,709 |
$154K |
| A6402 |
Sterile gauze <= 16 sq in |
10,003 |
8,870 |
$115K |
| A4623 |
Tracheostomy inner cannula |
2,591 |
2,449 |
$102K |
| A7000 |
Disposable canister for pump |
12,975 |
12,226 |
$87K |
| A4605 |
Trach suction cath close sys |
798 |
747 |
$77K |
| E0482 |
Cough stimulating device |
270 |
270 |
$77K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
612 |
509 |
$76K |
| A4628 |
Oropharyngeal suction cath |
7,802 |
7,409 |
$72K |
| A9999 |
Dme supply or accessory, nos |
1,619 |
716 |
$59K |
| E0570 |
Nebulizer with compression |
4,713 |
4,598 |
$57K |
| E0565 |
Compressor air power source |
1,756 |
1,735 |
$51K |
| A7002 |
Tubing used w suction pump |
12,039 |
11,538 |
$47K |
| A7525 |
Tracheostomy mask |
3,842 |
3,513 |
$44K |
| B4034 |
Enter feed supkit syr by day |
2,257 |
2,063 |
$41K |
| A6216 |
Non-sterile gauze<=16 sq in |
5,337 |
4,970 |
$41K |
| A7509 |
Heat & moisture exchange sys |
1,173 |
1,095 |
$28K |
| A4452 |
Waterproof tape |
3,518 |
3,371 |
$25K |
| A7018 |
Water distilled w/nebulizer |
7,338 |
7,134 |
$24K |
| A7046 |
Repl water chamber, pap dev |
1,435 |
1,395 |
$22K |
| A4657 |
Syringe w/wo needle |
3,376 |
3,076 |
$19K |
| A7521 |
Trach/laryn tube cuffed |
769 |
720 |
$19K |
| A7003 |
Nebulizer administration set |
9,428 |
9,154 |
$17K |
| E0776 |
Iv pole |
2,402 |
2,314 |
$17K |
| A7037 |
Pos airway pressure tubing |
418 |
396 |
$15K |
| B4150 |
Ef complet w/intact nutrient |
90 |
88 |
$10K |
| A7010 |
Disposable corrugated tubing |
732 |
720 |
$10K |
| 99503 |
|
182 |
180 |
$9K |
| B4152 |
Ef calorie dense>/=1.5kcal |
85 |
74 |
$9K |
| A4450 |
Non-waterproof tape |
4,403 |
4,277 |
$8K |
| A7045 |
Repl exhalation port for pap |
495 |
476 |
$8K |
| A7007 |
Lg vol nebulizer disposable |
1,825 |
1,740 |
$7K |
| A7012 |
Nebulizer water collec devic |
1,702 |
1,640 |
$7K |
| E0601 |
Cont airway pressure device |
118 |
98 |
$7K |
| S8186 |
Swivel adaptor |
414 |
385 |
$5K |
| A4627 |
Spacer bag/reservoir |
405 |
388 |
$4K |
| S8999 |
Resuscitation bag |
42 |
42 |
$3K |
| B9998 |
Enteral supp not otherwise c |
89 |
75 |
$2K |
| A4402 |
Lubricant per ounce |
2,319 |
2,261 |
$2K |
| A4245 |
Alcohol wipes per box |
791 |
775 |
$2K |
| E0562 |
Humidifier heated used w pap |
117 |
97 |
$1K |
| A4213 |
20+ cc syringe only |
265 |
244 |
$936.34 |
| A7038 |
Pos airway pressure filter |
90 |
87 |
$921.48 |
| B4036 |
Enteral feed sup kit grav by |
13 |
13 |
$598.35 |
| A7015 |
Aerosol mask used w nebulize |
286 |
281 |
$398.12 |
| A4618 |
Breathing circuits |
449 |
382 |
$172.53 |
| A4217 |
Sterile water/saline, 500 ml |
411 |
396 |
$117.94 |
| A7020 |
Interface, cough stim device |
12 |
12 |
$94.51 |
| A4244 |
Alcohol or peroxide per pint |
70 |
70 |
$78.05 |
| A6453 |
Self-adher band w <3"/yd |
47 |
39 |
$70.00 |
| S8210 |
Mucus trap |
26 |
26 |
$59.51 |
| A4332 |
Lube sterile packet |
1,350 |
1,302 |
$40.99 |
| A4216 |
Sterile water/saline, 10 ml |
920 |
886 |
$19.50 |
| A4616 |
Tubing (oxygen) per foot |
207 |
175 |
$0.00 |
| A4483 |
Moisture exchanger |
13 |
13 |
$0.00 |
| A9279 |
Monitoring feature/devicenoc |
60 |
44 |
$0.00 |