| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
3,810 |
3,677 |
$4.87M |
| B4035 |
Enteral feed supp pump per d |
25,160 |
24,199 |
$2.50M |
| B9998 |
Enteral supp not otherwise c |
33,161 |
30,286 |
$1.71M |
| E1390 |
Oxygen concentrator |
13,192 |
11,926 |
$1.55M |
| A4351 |
Straight tip urine catheter |
3,385 |
3,165 |
$1.19M |
| A7521 |
Trach/laryn tube cuffed |
1,629 |
1,507 |
$784K |
| B4088 |
Gastro/jejuno tube, low-pro |
6,658 |
6,413 |
$760K |
| A7520 |
Trach/laryn tube non-cuffed |
3,415 |
3,260 |
$583K |
| S8189 |
Trach supply noc |
12,501 |
7,847 |
$484K |
| A7526 |
Tracheostomy tube collar |
6,195 |
5,981 |
$471K |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,551 |
4,320 |
$457K |
| T5999 |
Supply, nos |
7,586 |
3,359 |
$419K |
| A4483 |
Moisture exchanger |
4,356 |
4,101 |
$408K |
| E0445 |
Oximeter non-invasive |
2,410 |
2,358 |
$400K |
| B9002 |
Enter nutr inf pump any type |
3,783 |
3,622 |
$394K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
9,522 |
8,951 |
$379K |
| A4606 |
Oxygen probe used w oximeter |
14,661 |
8,952 |
$340K |
| A4223 |
Infusion supplies w/o pump |
11,599 |
1,579 |
$313K |
| E0431 |
Portable gaseous 02 |
14,974 |
13,547 |
$303K |
| A7509 |
Heat & moisture exchange sys |
1,666 |
1,599 |
$214K |
| A6402 |
Sterile gauze <= 16 sq in |
29,165 |
26,857 |
$200K |
| A4322 |
Irrigation syringe |
28,672 |
27,643 |
$199K |
| E0443 |
Portable 02 contents, gas |
4,382 |
3,257 |
$182K |
| E0471 |
Rad w/backup non inv intrfc |
406 |
345 |
$177K |
| L8501 |
Tracheostomy speaking valve |
1,904 |
1,857 |
$149K |
| A4624 |
Tracheal suction tube |
7,247 |
7,015 |
$146K |
| A7000 |
Disposable canister for pump |
13,084 |
12,631 |
$142K |
| A4628 |
Oropharyngeal suction cath |
9,325 |
9,097 |
$139K |
| A9900 |
Supply/accessory/service |
7,537 |
5,719 |
$119K |
| E0601 |
Cont airway pressure device |
2,073 |
1,846 |
$110K |
| B9999 |
Parenteral supp not othrws c |
3,594 |
790 |
$103K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,466 |
1,355 |
$102K |
| A4927 |
Non-sterile gloves |
5,149 |
4,571 |
$57K |
| A4930 |
Sterile, gloves per pair |
3,937 |
1,803 |
$52K |
| A4629 |
Tracheostomy care kit |
3,403 |
3,327 |
$47K |
| B4150 |
Ef complet w/intact nutrient |
1,300 |
1,237 |
$46K |
| A4215 |
Sterile needle |
2,148 |
2,077 |
$42K |
| A7005 |
Nondisposable nebulizer set |
2,027 |
1,705 |
$38K |
| A4657 |
Syringe w/wo needle |
14,554 |
10,912 |
$36K |
| A7002 |
Tubing used w suction pump |
9,005 |
8,814 |
$31K |
| E0482 |
Cough stimulating device |
78 |
76 |
$27K |
| B4155 |
Ef incomplete/modular |
1,542 |
1,421 |
$19K |
| E0570 |
Nebulizer with compression |
513 |
507 |
$17K |
| A7003 |
Nebulizer administration set |
10,123 |
9,946 |
$16K |
| A6257 |
Transparent film <= 16 sq in |
3,447 |
2,819 |
$16K |
| A6258 |
Transparent film >16<=48 in |
760 |
429 |
$15K |
| A4212 |
Non coring needle or stylet |
481 |
358 |
$15K |
| A7015 |
Aerosol mask used w nebulize |
7,157 |
6,964 |
$11K |
| E0781 |
External ambulatory infus pu |
58 |
49 |
$11K |
| A4248 |
Chlorhexidine antisept |
2,701 |
1,285 |
$10K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
134 |
134 |
$9K |
| B4081 |
Enteral ng tubing w/ stylet |
169 |
164 |
$7K |
| A6442 |
Conform band n/s w<3"/yd |
3,410 |
3,321 |
$7K |
| E0600 |
Suction pump portab hom modl |
12 |
12 |
$6K |
| J7131 |
Hypertonic saline sol |
232 |
224 |
$5K |
| A4245 |
Alcohol wipes per box |
4,046 |
3,811 |
$4K |
| S1015 |
Iv tubing extension set |
271 |
87 |
$3K |
| A7038 |
Pos airway pressure filter |
179 |
174 |
$1K |
| A4421 |
Ostomy supply misc |
288 |
275 |
$937.83 |
| A7004 |
Disposable nebulizer sml vol |
154 |
154 |
$682.39 |