| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,187 |
2,822 |
$431K |
| E0445 |
Oximeter non-invasive |
2,498 |
2,249 |
$383K |
| B4035 |
Enteral feed supp pump per d |
3,758 |
1,557 |
$376K |
| E0570 |
Nebulizer with compression |
2,847 |
2,381 |
$259K |
| B4150 |
Ef complet w/intact nutrient |
1,288 |
1,070 |
$178K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,192 |
1,021 |
$170K |
| A4627 |
Spacer bag/reservoir |
3,622 |
3,123 |
$137K |
| A4554 |
Disposable underpads |
2,807 |
2,563 |
$136K |
| E0601 |
Cont airway pressure device |
1,684 |
1,481 |
$116K |
| A4927 |
Non-sterile gloves |
2,611 |
2,439 |
$64K |
| T4534 |
Youth size pull-on |
489 |
447 |
$62K |
| A4217 |
Sterile water/saline, 500 ml |
734 |
533 |
$52K |
| E0431 |
Portable gaseous 02 |
2,317 |
1,984 |
$48K |
| B9998 |
Enteral supp not otherwise c |
2,890 |
2,086 |
$39K |
| B4088 |
Gastro/jejuno tube, low-pro |
234 |
211 |
$24K |
| A7031 |
Replacement facemask interfa |
477 |
427 |
$23K |
| A7000 |
Disposable canister for pump |
1,505 |
1,324 |
$17K |
| A7030 |
Cpap full face mask |
113 |
100 |
$15K |
| A4213 |
20+ cc syringe only |
1,619 |
1,367 |
$13K |
| A4351 |
Straight tip urine catheter |
57 |
51 |
$11K |
| A4483 |
Moisture exchanger |
43 |
36 |
$11K |
| E0562 |
Humidifier heated used w pap |
573 |
444 |
$8K |
| A7002 |
Tubing used w suction pump |
1,647 |
1,383 |
$7K |
| A4628 |
Oropharyngeal suction cath |
886 |
752 |
$7K |
| E0443 |
Portable 02 contents, gas |
531 |
396 |
$7K |
| A7035 |
Pos airway press headgear |
244 |
215 |
$6K |
| A7038 |
Pos airway pressure filter |
1,236 |
1,071 |
$6K |
| T4526 |
Adult size pull-on med |
56 |
49 |
$6K |
| A7003 |
Nebulizer administration set |
2,088 |
1,814 |
$5K |
| A7037 |
Pos airway pressure tubing |
119 |
99 |
$3K |
| A4604 |
Tubing with heating element |
86 |
82 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,857 |
1,628 |
$3K |
| A7526 |
Tracheostomy tube collar |
104 |
89 |
$3K |
| B4152 |
Ef calorie dense>/=1.5kcal |
17 |
13 |
$2K |
| A7004 |
Disposable nebulizer sml vol |
617 |
531 |
$2K |
| A7039 |
Filter, non disposable w pap |
170 |
146 |
$2K |
| A7046 |
Repl water chamber, pap dev |
69 |
66 |
$812.71 |
| XZERO |
|
78 |
38 |
$0.00 |