| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
|
3,787 |
349 |
$80K |
| 97530 |
|
3,295 |
292 |
$79K |
| A4623 |
Tracheostomy, inner cannula |
9,983 |
415 |
$65K |
| 97112 |
|
3,157 |
333 |
$60K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
8,417 |
418 |
$56K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
10,593 |
388 |
$51K |
| A7526 |
Tracheostomy tube collar/holder, each |
5,156 |
385 |
$12K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
136 |
103 |
$3K |
| 97535 |
|
206 |
37 |
$3K |
| A7525 |
Tracheostomy mask, each |
725 |
38 |
$1K |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
575 |
24 |
$1K |