| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
8,258 |
4,941 |
$1.07M |
| E0465 |
Home vent invasive interface |
1,265 |
847 |
$941K |
| B4149 |
Ef blenderized foods |
1,668 |
1,479 |
$679K |
| E0466 |
Home vent non-invasive inter |
859 |
846 |
$591K |
| E1390 |
Oxygen concentrator |
5,639 |
5,500 |
$392K |
| E0445 |
Oximeter non-invasive |
1,728 |
1,690 |
$309K |
| A4606 |
Oxygen probe used w oximeter |
3,597 |
3,272 |
$251K |
| E0431 |
Portable gaseous 02 |
6,510 |
6,339 |
$232K |
| B9002 |
Enter nutr inf pump any type |
2,737 |
2,671 |
$220K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,481 |
1,393 |
$213K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,544 |
1,479 |
$180K |
| B4161 |
Ef ped hydrolyzed/amino acid |
446 |
404 |
$174K |
| A4624 |
Tracheal suction tube |
1,607 |
1,467 |
$159K |
| E1399 |
Durable medical equipment mi |
2,836 |
1,767 |
$157K |
| E0482 |
Cough stimulating device |
347 |
340 |
$131K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,608 |
1,537 |
$99K |
| E0600 |
Suction pump portab hom modl |
1,636 |
1,606 |
$62K |
| B9998 |
Enteral supp not otherwise c |
1,691 |
1,131 |
$60K |
| A7526 |
Tracheostomy tube collar |
2,477 |
2,246 |
$42K |
| E0619 |
Apnea monitor w recorder |
233 |
227 |
$41K |
| E0424 |
Stationary compressed gas 02 |
414 |
407 |
$37K |
| A4605 |
Trach suction cath close sys |
625 |
562 |
$28K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
157 |
144 |
$26K |
| B4034 |
Enter feed supkit syr by day |
469 |
234 |
$25K |
| A4216 |
Sterile water/saline, 10 ml |
1,533 |
1,415 |
$25K |
| A4629 |
Tracheostomy care kit |
1,893 |
1,756 |
$21K |
| A7000 |
Disposable canister for pump |
3,277 |
3,134 |
$19K |
| A4628 |
Oropharyngeal suction cath |
3,438 |
3,196 |
$15K |
| A7002 |
Tubing used w suction pump |
3,477 |
3,265 |
$10K |
| A7046 |
Repl water chamber, pap dev |
1,045 |
1,002 |
$9K |
| A6453 |
Self-adher band w <3"/yd |
3,640 |
3,420 |
$9K |
| A6402 |
Sterile gauze <= 16 sq in |
1,686 |
1,534 |
$8K |
| A6216 |
Non-sterile gauze<=16 sq in |
1,651 |
1,510 |
$8K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
417 |
384 |
$7K |
| E0776 |
Iv pole |
40 |
40 |
$4K |
| E0562 |
Humidifier heated used w pap |
180 |
173 |
$3K |
| A4332 |
Lube sterile packet |
1,872 |
1,724 |
$2K |
| E0601 |
Cont airway pressure device |
37 |
37 |
$1K |
| A4450 |
Non-waterproof tape |
883 |
800 |
$1K |
| A7520 |
Trach/laryn tube non-cuffed |
14 |
13 |
$624.83 |
| A7525 |
Tracheostomy mask |
244 |
217 |
$328.26 |
| A7004 |
Disposable nebulizer sml vol |
210 |
202 |
$251.35 |
| A7037 |
Pos airway pressure tubing |
17 |
15 |
$242.92 |
| A4218 |
Sterile saline or water |
26 |
25 |
$202.74 |
| A7007 |
Lg vol nebulizer disposable |
37 |
36 |
$86.79 |
| A7003 |
Nebulizer administration set |
122 |
111 |
$33.25 |
| A4649 |
Surgical supplies |
31 |
30 |
$19.87 |
| A4213 |
20+ cc syringe only |
14 |
13 |
$11.61 |