| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
17,681 |
12,335 |
$5.12M |
| B4161 |
Ef ped hydrolyzed/amino acid |
5,323 |
4,820 |
$2.93M |
| E0465 |
Home vent invasive interface |
7,078 |
6,031 |
$2.70M |
| E0466 |
Home vent non-invasive inter |
1,853 |
1,751 |
$1.23M |
| A4624 |
Tracheal suction tube |
8,016 |
5,950 |
$1.23M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
7,245 |
6,627 |
$1.08M |
| E1390 |
Oxygen concentrator |
9,671 |
9,665 |
$852K |
| B4088 |
Gastro/jejuno tube, low-pro |
5,776 |
5,408 |
$767K |
| A7521 |
Trach/laryn tube cuffed |
5,599 |
3,455 |
$722K |
| B4149 |
Ef blenderized foods |
2,184 |
1,947 |
$607K |
| A7507 |
Integrated filter & holder |
6,892 |
3,470 |
$556K |
| S9343 |
Hit enteral bolus nurs |
2,782 |
1,669 |
$532K |
| B4153 |
Ef hydrolyzed/amino acids |
1,114 |
1,006 |
$513K |
| A7526 |
Tracheostomy tube collar |
13,888 |
8,073 |
$298K |
| A7520 |
Trach/laryn tube non-cuffed |
5,842 |
3,046 |
$293K |
| S9500 |
Hit antibiotic q24h diem |
1,112 |
431 |
$288K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,311 |
1,924 |
$277K |
| B4150 |
Ef complet w/intact nutrient |
2,148 |
1,865 |
$272K |
| E0482 |
Cough stimulating device |
1,163 |
1,151 |
$258K |
| A4605 |
Trach suction cath close sys |
3,564 |
3,236 |
$237K |
| A4927 |
Non-sterile gloves |
7,465 |
5,967 |
$211K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
2,880 |
1,649 |
$188K |
| E0445 |
Oximeter non-invasive |
2,374 |
2,373 |
$167K |
| A4629 |
Tracheostomy care kit |
2,598 |
2,473 |
$155K |
| A4217 |
Sterile water/saline, 500 ml |
5,706 |
5,369 |
$126K |
| E0431 |
Portable gaseous 02 |
6,865 |
6,864 |
$123K |
| B4155 |
Ef incomplete/modular |
2,177 |
1,830 |
$105K |
| S9502 |
Hit antibiotic q8h diem |
312 |
122 |
$101K |
| B4154 |
Ef spec metabolic noninherit |
395 |
343 |
$98K |
| E0600 |
Suction pump portab hom modl |
4,804 |
4,759 |
$95K |
| B4103 |
Ef ped fluid and electrolyte |
913 |
871 |
$94K |
| B4185 |
Pn soln nos 10 grams lipids |
438 |
113 |
$92K |
| A4628 |
Oropharyngeal suction cath |
9,084 |
7,171 |
$91K |
| K0738 |
Portable gas oxygen system |
2,958 |
2,956 |
$76K |
| A4483 |
Moisture exchanger |
530 |
516 |
$58K |
| A6402 |
Sterile gauze <= 16 sq in |
5,382 |
5,062 |
$58K |
| E0570 |
Nebulizer with compression |
1,598 |
1,593 |
$50K |
| E0601 |
Cont airway pressure device |
1,058 |
1,058 |
$49K |
| A7000 |
Disposable canister for pump |
11,491 |
10,451 |
$48K |
| A4216 |
Sterile water/saline, 10 ml |
5,441 |
5,199 |
$46K |
| A4623 |
Tracheostomy inner cannula |
726 |
694 |
$41K |
| E0565 |
Compressor air power source |
1,534 |
1,532 |
$39K |
| 99601 |
|
489 |
213 |
$35K |
| S9338 |
Hit immunotherapy diem |
421 |
280 |
$33K |
| B4100 |
Food thickener oral |
347 |
333 |
$31K |
| E0424 |
Stationary compressed gas 02 |
259 |
259 |
$30K |
| B4035 |
Enteral feed supp pump per d |
1,521 |
640 |
$29K |
| A6216 |
Non-sterile gauze<=16 sq in |
4,859 |
4,702 |
$28K |
| L8501 |
Tracheostomy speaking valve |
555 |
534 |
$28K |
| A4604 |
Tubing with heating element |
560 |
559 |
$22K |
| A7003 |
Nebulizer administration set |
6,512 |
6,142 |
$20K |
| A7002 |
Tubing used w suction pump |
9,829 |
9,018 |
$19K |
| A7012 |
Nebulizer water collec devic |
3,375 |
3,249 |
$15K |
| E0562 |
Humidifier heated used w pap |
778 |
775 |
$15K |
| S9501 |
Hit antibiotic q12h diem |
33 |
12 |
$11K |
| A7010 |
Disposable corrugated tubing |
624 |
599 |
$9K |
| S9341 |
Hit enteral grav diem |
28 |
24 |
$8K |
| A7525 |
Tracheostomy mask |
5,548 |
4,376 |
$7K |
| A7034 |
Nasal application device |
114 |
113 |
$7K |
| S9374 |
Hit hydra 1 liter diem |
44 |
14 |
$6K |
| A7035 |
Pos airway press headgear |
313 |
312 |
$6K |
| E0434 |
Portable liquid 02 |
332 |
331 |
$6K |
| E0260 |
Hosp bed semi-electr w/ matt |
156 |
156 |
$6K |
| S5502 |
Hit interim cath care |
85 |
52 |
$5K |
| K0001 |
Standard wheelchair |
257 |
257 |
$5K |
| A7038 |
Pos airway pressure filter |
950 |
942 |
$4K |
| S5501 |
Hit complex cath care |
23 |
12 |
$4K |
| A4332 |
Lube sterile packet |
343 |
339 |
$3K |
| A7031 |
Replacement facemask interfa |
88 |
87 |
$3K |
| B4158 |
Ef ped complete intact nut |
15 |
14 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
2,170 |
2,143 |
$3K |
| A4606 |
Oxygen probe used w oximeter |
1,220 |
1,169 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
74 |
24 |
$2K |
| E0439 |
Stationary liquid 02 |
26 |
26 |
$2K |
| A7046 |
Repl water chamber, pap dev |
184 |
180 |
$2K |
| A7020 |
Interface, cough stim device |
231 |
208 |
$1K |
| B4087 |
Gastro/jejuno tube, std |
12 |
12 |
$751.32 |
| K0195 |
Elevating whlchair leg rests |
91 |
91 |
$683.92 |
| A7007 |
Lg vol nebulizer disposable |
340 |
325 |
$83.00 |
| A4481 |
Tracheostoma filter |
57 |
56 |
$64.78 |
| A4244 |
Alcohol or peroxide per pint |
12 |
12 |
$30.48 |
| A4649 |
Surgical supplies |
112 |
109 |
$0.00 |