| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
23,601 |
18,705 |
$19.59M |
| E0466 |
Home vent non-invasive inter |
24,738 |
23,669 |
$17.11M |
| B4035 |
Enteral feed supp pump per d |
36,796 |
33,837 |
$7.47M |
| B4161 |
Ef ped hydrolyzed/amino acid |
8,200 |
7,407 |
$5.64M |
| E1390 |
Oxygen concentrator |
53,453 |
52,709 |
$5.19M |
| A4624 |
Tracheal suction tube |
14,613 |
13,883 |
$2.98M |
| E1399 |
Durable medical equipment mi |
25,464 |
15,346 |
$2.85M |
| E0445 |
Oximeter non-invasive |
20,539 |
20,017 |
$2.21M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
8,363 |
7,853 |
$1.96M |
| B9998 |
Enteral supp not otherwise c |
9,846 |
9,218 |
$1.50M |
| E0482 |
Cough stimulating device |
6,066 |
5,986 |
$1.33M |
| A4629 |
Tracheostomy care kit |
12,344 |
11,967 |
$1.13M |
| A4605 |
Trach suction cath close sys |
9,083 |
8,768 |
$1.12M |
| E0431 |
Portable gaseous 02 |
51,282 |
50,813 |
$1.05M |
| A7526 |
Tracheostomy tube collar |
12,582 |
12,125 |
$904K |
| B4153 |
Ef hydrolyzed/amino acids |
1,489 |
1,341 |
$874K |
| B9002 |
Enter nutr inf pump any type |
11,964 |
11,710 |
$870K |
| A4606 |
Oxygen probe used w oximeter |
12,154 |
11,445 |
$724K |
| B4149 |
Ef blenderized foods |
2,693 |
2,492 |
$671K |
| A7520 |
Trach/laryn tube non-cuffed |
10,423 |
9,982 |
$593K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
4,396 |
4,106 |
$568K |
| B4150 |
Ef complet w/intact nutrient |
2,650 |
2,421 |
$442K |
| A7000 |
Disposable canister for pump |
28,265 |
27,468 |
$426K |
| E0471 |
Rad w/backup non inv intrfc |
1,899 |
1,882 |
$355K |
| A7507 |
Integrated filter & holder |
5,916 |
5,267 |
$352K |
| E0600 |
Suction pump portab hom modl |
7,485 |
7,268 |
$333K |
| B4088 |
Gastro/jejuno tube, low-pro |
3,413 |
3,369 |
$323K |
| B4034 |
Enter feed supkit syr by day |
2,592 |
2,477 |
$291K |
| A4623 |
Tracheostomy inner cannula |
3,434 |
3,248 |
$268K |
| B4158 |
Ef ped complete intact nut |
1,153 |
1,039 |
$256K |
| A4216 |
Sterile water/saline, 10 ml |
15,918 |
15,351 |
$245K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,445 |
1,285 |
$235K |
| E0424 |
Stationary compressed gas 02 |
2,731 |
2,659 |
$229K |
| A4628 |
Oropharyngeal suction cath |
20,279 |
19,505 |
$226K |
| A4481 |
Tracheostoma filter |
2,373 |
2,301 |
$224K |
| A4927 |
Non-sterile gloves |
18,488 |
17,811 |
$202K |
| A7002 |
Tubing used w suction pump |
28,908 |
27,947 |
$171K |
| L8501 |
Tracheostomy speaking valve |
2,269 |
2,212 |
$166K |
| A4554 |
Disposable underpads |
3,390 |
3,263 |
$155K |
| E0619 |
Apnea monitor w recorder |
948 |
938 |
$155K |
| B4155 |
Ef incomplete/modular |
1,383 |
1,262 |
$150K |
| A7521 |
Trach/laryn tube cuffed |
3,127 |
2,937 |
$145K |
| E0570 |
Nebulizer with compression |
2,921 |
2,828 |
$116K |
| E0565 |
Compressor air power source |
3,802 |
3,743 |
$114K |
| B4036 |
Enteral feed sup kit grav by |
614 |
575 |
$109K |
| A6402 |
Sterile gauze <= 16 sq in |
8,961 |
8,547 |
$106K |
| E0601 |
Cont airway pressure device |
2,085 |
2,066 |
$96K |
| A4217 |
Sterile water/saline, 500 ml |
3,368 |
3,249 |
$95K |
| E0776 |
Iv pole |
3,276 |
3,202 |
$91K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
532 |
507 |
$85K |
| T4522 |
Adult size brief/diaper med |
1,041 |
1,007 |
$81K |
| A7003 |
Nebulizer administration set |
22,163 |
21,504 |
$70K |
| K0738 |
Portable gas oxygen system |
2,036 |
1,915 |
$65K |
| A7007 |
Lg vol nebulizer disposable |
7,685 |
7,418 |
$55K |
| B4082 |
Enteral ng tubing w/o stylet |
1,221 |
1,112 |
$39K |
| A7034 |
Nasal application device |
767 |
751 |
$36K |
| B4081 |
Enteral ng tubing w/ stylet |
836 |
797 |
$34K |
| A7525 |
Tracheostomy mask |
8,098 |
7,900 |
$31K |
| A4402 |
Lubricant per ounce |
9,549 |
9,301 |
$31K |
| T4533 |
Youth size brief/diaper |
377 |
345 |
$26K |
| S8999 |
Resuscitation bag |
388 |
375 |
$23K |
| A6216 |
Non-sterile gauze<=16 sq in |
3,007 |
2,806 |
$22K |
| A7020 |
Interface, cough stim device |
2,092 |
2,015 |
$20K |
| B4154 |
Ef spec metabolic noninherit |
85 |
81 |
$18K |
| A6212 |
Foam drg <=16 sq in w/border |
108 |
101 |
$13K |
| E1392 |
Portable oxygen concentrator |
458 |
433 |
$12K |
| A4618 |
Breathing circuits |
1,860 |
1,798 |
$12K |
| A7037 |
Pos airway pressure tubing |
884 |
860 |
$11K |
| A7010 |
Disposable corrugated tubing |
836 |
814 |
$10K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
122 |
121 |
$8K |
| A7035 |
Pos airway press headgear |
505 |
499 |
$8K |
| A4450 |
Non-waterproof tape |
3,852 |
3,715 |
$7K |
| E0562 |
Humidifier heated used w pap |
278 |
263 |
$7K |
| A4213 |
20+ cc syringe only |
689 |
663 |
$7K |
| T4530 |
Ped size brief/diaper lg |
95 |
92 |
$6K |
| A7012 |
Nebulizer water collec devic |
1,408 |
1,355 |
$6K |
| A7015 |
Aerosol mask used w nebulize |
5,172 |
5,034 |
$6K |
| S9340 |
Hit enteral per diem |
266 |
120 |
$5K |
| A7527 |
Trach/laryn tube plug/stop |
483 |
449 |
$4K |
| A4245 |
Alcohol wipes per box |
2,161 |
2,075 |
$4K |
| A6257 |
Transparent film <= 16 sq in |
108 |
104 |
$3K |
| A5120 |
Skin barrier, wipe or swab |
412 |
383 |
$3K |
| A7018 |
Water distilled w/nebulizer |
474 |
442 |
$2K |
| A4627 |
Spacer bag/reservoir |
380 |
358 |
$2K |
| A7046 |
Repl water chamber, pap dev |
122 |
114 |
$1K |
| T4523 |
Adult size brief/diaper lg |
13 |
12 |
$1K |
| A7005 |
Nondisposable nebulizer set |
69 |
68 |
$897.09 |
| A7039 |
Filter, non disposable w pap |
150 |
148 |
$769.69 |
| A7038 |
Pos airway pressure filter |
386 |
379 |
$758.80 |
| A4452 |
Waterproof tape |
151 |
149 |
$519.52 |
| B4087 |
Gastro/jejuno tube, std |
12 |
12 |
$283.08 |
| A7045 |
Repl exhalation port for pap |
12 |
12 |
$149.62 |
| A7013 |
Disposable compressor filter |
241 |
234 |
$103.31 |
| A6453 |
Self-adher band w <3"/yd |
22 |
22 |
$45.90 |