| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
7,115 |
6,871 |
$1.20M |
| B4153 |
Ef hydrolyzed/amino acids |
1,717 |
1,659 |
$1.19M |
| E1390 |
Oxygen concentrator |
9,352 |
8,714 |
$1.08M |
| E0465 |
Home vent invasive interface |
2,266 |
1,996 |
$1.00M |
| A4624 |
Tracheal suction tube |
6,589 |
6,295 |
$954K |
| A7003 |
Nebulizer administration set |
11,567 |
8,410 |
$850K |
| B9002 |
Enter nutr inf pump any type |
8,819 |
8,358 |
$503K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,300 |
2,255 |
$471K |
| B4150 |
Ef complet w/intact nutrient |
1,765 |
1,692 |
$409K |
| E0445 |
Oximeter non-invasive |
5,493 |
5,237 |
$335K |
| B4087 |
Gastro/jejuno tube, std |
14,177 |
9,440 |
$322K |
| B4088 |
Gastro/jejuno tube, low-pro |
4,565 |
4,433 |
$315K |
| E0466 |
Home vent non-invasive inter |
531 |
487 |
$261K |
| E0431 |
Portable gaseous 02 |
9,349 |
8,710 |
$251K |
| A4322 |
Irrigation syringe |
6,505 |
6,123 |
$229K |
| A4244 |
Alcohol or peroxide per pint |
5,150 |
4,966 |
$180K |
| A4927 |
Non-sterile gloves |
11,203 |
10,850 |
$171K |
| A4554 |
Disposable underpads |
6,172 |
5,901 |
$155K |
| T4522 |
Adult size brief/diaper med |
1,868 |
1,778 |
$143K |
| A7520 |
Trach/laryn tube non-cuffed |
3,282 |
3,132 |
$139K |
| A6402 |
Sterile gauze <= 16 sq in |
7,883 |
7,423 |
$114K |
| A4245 |
Alcohol wipes per box |
4,472 |
4,328 |
$107K |
| A7508 |
Housing & integrated adhesiv |
3,325 |
3,168 |
$99K |
| A4629 |
Tracheostomy care kit |
2,377 |
2,278 |
$99K |
| A9900 |
Supply/accessory/service |
717 |
562 |
$90K |
| A4213 |
20+ cc syringe only |
2,589 |
2,484 |
$84K |
| A4209 |
5+ cc sterile syringe&needle |
7,058 |
6,850 |
$81K |
| A7002 |
Tubing used w suction pump |
7,780 |
7,467 |
$71K |
| A7526 |
Tracheostomy tube collar |
4,343 |
4,177 |
$70K |
| E0600 |
Suction pump portab hom modl |
2,466 |
2,357 |
$70K |
| E0570 |
Nebulizer with compression |
875 |
834 |
$68K |
| E0565 |
Compressor air power source |
2,345 |
2,222 |
$58K |
| A6216 |
Non-sterile gauze<=16 sq in |
7,108 |
6,777 |
$56K |
| A4450 |
Non-waterproof tape |
6,289 |
6,053 |
$55K |
| B9998 |
Enteral supp not otherwise c |
1,520 |
1,474 |
$42K |
| A7000 |
Disposable canister for pump |
3,105 |
2,974 |
$37K |
| T4529 |
Ped size brief/diaper sm/med |
772 |
765 |
$36K |
| A4208 |
3 cc sterile syringe&needle |
2,528 |
2,443 |
$29K |
| A4216 |
Sterile water/saline, 10 ml |
2,439 |
2,296 |
$24K |
| A7015 |
Aerosol mask used w nebulize |
4,490 |
4,381 |
$21K |
| A4206 |
1 cc sterile syringe&needle |
1,893 |
1,831 |
$19K |
| A4217 |
Sterile water/saline, 500 ml |
1,375 |
1,299 |
$17K |
| B4149 |
Ef blenderized foods |
42 |
38 |
$16K |
| E0601 |
Cont airway pressure device |
213 |
212 |
$12K |
| A4332 |
Lube sterile packet |
1,246 |
1,163 |
$12K |
| E0776 |
Iv pole |
717 |
685 |
$10K |
| A5131 |
Appliance cleaner |
1,736 |
1,638 |
$8K |
| A7525 |
Tracheostomy mask |
3,762 |
2,660 |
$8K |
| A6403 |
Sterile gauze>16 <= 48 sq in |
233 |
229 |
$6K |
| A4623 |
Tracheostomy inner cannula |
309 |
137 |
$6K |
| E0619 |
Apnea monitor w recorder |
39 |
38 |
$5K |
| A4628 |
Oropharyngeal suction cath |
65 |
63 |
$2K |
| A7014 |
Compressor nondispos filter |
210 |
196 |
$741.69 |
| A4606 |
Oxygen probe used w oximeter |
51 |
49 |
$719.00 |
| L8501 |
Tracheostomy speaking valve |
13 |
12 |
$512.16 |
| A7013 |
Disposable compressor filter |
13 |
13 |
$6.89 |