| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
24,088 |
22,612 |
$8.08M |
| B4149 |
Ef blenderized foods |
9,623 |
9,105 |
$4.47M |
| B4161 |
Ef ped hydrolyzed/amino acid |
5,149 |
4,799 |
$2.96M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
12,194 |
11,546 |
$2.44M |
| E0445 |
Oximeter non-invasive |
3,251 |
3,194 |
$2.26M |
| E0465 |
Home vent invasive interface |
1,874 |
1,247 |
$1.81M |
| B4153 |
Ef hydrolyzed/amino acids |
1,282 |
1,206 |
$1.08M |
| T4530 |
Ped size brief/diaper lg |
6,798 |
6,657 |
$1.07M |
| B4088 |
Gastro/jejuno tube, low-pro |
9,320 |
9,170 |
$1.02M |
| T4522 |
Adult size brief/diaper med |
5,335 |
5,219 |
$861K |
| B9002 |
Enter nutr inf pump any type |
6,534 |
6,430 |
$841K |
| B4036 |
Enteral feed sup kit grav by |
3,207 |
3,067 |
$804K |
| T4521 |
Adult size brief/diaper sm |
5,057 |
4,934 |
$773K |
| B4034 |
Enter feed supkit syr by day |
4,132 |
3,932 |
$759K |
| G0299 |
Hhs/hospice of rn ea 15 min |
7,826 |
3,244 |
$708K |
| T4533 |
Youth size brief/diaper |
3,988 |
3,877 |
$644K |
| E0482 |
Cough stimulating device |
1,408 |
1,399 |
$632K |
| A4351 |
Straight tip urine catheter |
2,785 |
2,624 |
$609K |
| T4532 |
Ped size pull-on lg |
3,914 |
3,811 |
$595K |
| A4627 |
Spacer bag/reservoir |
12,809 |
12,639 |
$534K |
| E1390 |
Oxygen concentrator |
5,827 |
5,759 |
$497K |
| E0202 |
Phototherapy light w/ photom |
1,716 |
1,610 |
$435K |
| T4523 |
Adult size brief/diaper lg |
2,488 |
2,424 |
$432K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,717 |
1,634 |
$403K |
| A4605 |
Trach suction cath close sys |
976 |
940 |
$387K |
| A4624 |
Tracheal suction tube |
1,297 |
1,237 |
$356K |
| B4154 |
Ef spec metabolic noninherit |
988 |
903 |
$347K |
| B4150 |
Ef complet w/intact nutrient |
1,444 |
1,385 |
$306K |
| A7507 |
Integrated filter & holder |
1,930 |
1,798 |
$238K |
| T4526 |
Adult size pull-on med |
1,356 |
1,312 |
$232K |
| A7526 |
Tracheostomy tube collar |
2,241 |
2,140 |
$218K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,324 |
1,245 |
$200K |
| T4541 |
Large disposable underpad |
2,784 |
2,716 |
$178K |
| E0431 |
Portable gaseous 02 |
8,460 |
8,277 |
$156K |
| A6212 |
Foam drg <=16 sq in w/border |
576 |
551 |
$151K |
| B4155 |
Ef incomplete/modular |
2,617 |
2,484 |
$151K |
| T4525 |
Adult size pull-on sm |
1,010 |
960 |
$149K |
| T4531 |
Ped size pull-on sm/med |
1,023 |
996 |
$141K |
| T4535 |
Disposable liner/shield/pad |
4,365 |
4,225 |
$140K |
| A4927 |
Non-sterile gloves |
6,480 |
6,150 |
$138K |
| A4352 |
Coude tip urinary catheter |
207 |
189 |
$112K |
| E0618 |
Apnea monitor |
384 |
373 |
$109K |
| T4542 |
Small disposable underpad |
1,502 |
1,483 |
$96K |
| A4217 |
Sterile water/saline, 500 ml |
1,173 |
1,026 |
$92K |
| A7520 |
Trach/laryn tube non-cuffed |
1,699 |
1,604 |
$85K |
| E0600 |
Suction pump portab hom modl |
1,932 |
1,901 |
$83K |
| E0471 |
Rad w/backup non inv intrfc |
220 |
220 |
$65K |
| A4222 |
Infusion supplies with pump |
203 |
109 |
$58K |
| A7032 |
Replacement nasal cushion |
1,053 |
1,002 |
$54K |
| A7001 |
Nondisposable pump canister |
1,524 |
1,463 |
$52K |
| A6250 |
Skin seal protect moisturizr |
875 |
844 |
$50K |
| E0601 |
Cont airway pressure device |
997 |
993 |
$49K |
| A4221 |
Supp non-insulin inf cath/wk |
1,947 |
613 |
$49K |
| E0570 |
Nebulizer with compression |
698 |
690 |
$49K |
| E1399 |
Durable medical equipment mi |
1,030 |
827 |
$48K |
| A7002 |
Tubing used w suction pump |
4,633 |
4,475 |
$47K |
| L8501 |
Tracheostomy speaking valve |
425 |
413 |
$45K |
| E0565 |
Compressor air power source |
686 |
663 |
$42K |
| A4628 |
Oropharyngeal suction cath |
3,918 |
3,785 |
$41K |
| A7000 |
Disposable canister for pump |
2,170 |
2,130 |
$41K |
| A4409 |
Ost skn barr convex <=4 sq i |
233 |
218 |
$40K |
| L4360 |
Pneumat walking boot pre cst |
157 |
154 |
$36K |
| A4606 |
Oxygen probe used w oximeter |
1,085 |
847 |
$32K |
| T4537 |
Reusable underpad bed size |
415 |
408 |
$29K |
| B4224 |
Parenteral administration ki |
140 |
36 |
$29K |
| A9999 |
Dme supply or accessory, nos |
565 |
473 |
$24K |
| T4524 |
Adult size brief/diaper xl |
142 |
131 |
$23K |
| A7034 |
Nasal application device |
230 |
224 |
$22K |
| A4332 |
Lube sterile packet |
1,641 |
1,595 |
$22K |
| A7038 |
Pos airway pressure filter |
3,430 |
2,808 |
$21K |
| B9004 |
Parenteral infus pump portab |
186 |
48 |
$20K |
| A4604 |
Tubing with heating element |
265 |
257 |
$19K |
| E0776 |
Iv pole |
153 |
151 |
$16K |
| A7521 |
Trach/laryn tube cuffed |
330 |
313 |
$15K |
| A7037 |
Pos airway pressure tubing |
579 |
565 |
$15K |
| B4178 |
Parenteral sol amino acid > |
42 |
12 |
$13K |
| K0001 |
Standard wheelchair |
589 |
581 |
$13K |
| A4402 |
Lubricant per ounce |
1,498 |
1,480 |
$12K |
| A4247 |
Betadine/iodine swabs/wipes |
230 |
218 |
$12K |
| E0480 |
Percussor elect/pneum home m |
311 |
311 |
$12K |
| E0990 |
Wheelchair elevating leg res |
1,211 |
608 |
$12K |
| A4629 |
Tracheostomy care kit |
1,224 |
1,199 |
$11K |
| E0562 |
Humidifier heated used w pap |
85 |
81 |
$10K |
| L4386 |
Non-pneum walk boot pre cst |
67 |
67 |
$10K |
| A7003 |
Nebulizer administration set |
1,937 |
1,894 |
$9K |
| B4185 |
Pn soln nos 10 grams lipids |
42 |
12 |
$9K |
| A5120 |
Skin barrier, wipe or swab |
750 |
513 |
$7K |
| A7030 |
Cpap full face mask |
91 |
89 |
$7K |
| B4222 |
Parenteral supply kit homemi |
83 |
24 |
$7K |
| A7035 |
Pos airway press headgear |
217 |
195 |
$6K |
| A7039 |
Filter, non disposable w pap |
479 |
426 |
$6K |
| A7020 |
Interface, cough stim device |
779 |
750 |
$6K |
| B4180 |
Parenteral sol carb > 50% |
41 |
12 |
$5K |
| A6402 |
Sterile gauze <= 16 sq in |
280 |
275 |
$4K |
| A7525 |
Tracheostomy mask |
638 |
596 |
$4K |
| A4425 |
Ost pch drain for barrier fl |
27 |
25 |
$3K |
| B4082 |
Enteral ng tubing w/o stylet |
158 |
149 |
$3K |
| B4216 |
Parenteral nutrition additiv |
41 |
12 |
$3K |
| A7007 |
Lg vol nebulizer disposable |
170 |
162 |
$2K |
| A4670 |
Automatic bp monitor, dial |
23 |
23 |
$2K |
| A7012 |
Nebulizer water collec devic |
143 |
132 |
$2K |
| K0739 |
Repair/svc dme non-oxygen eq |
14 |
13 |
$2K |
| J7030 |
Normal saline solution infus |
644 |
249 |
$2K |
| A4556 |
Electrodes, pair |
39 |
38 |
$1K |
| A4213 |
20+ cc syringe only |
105 |
87 |
$1K |
| A4557 |
Lead wires, pair |
26 |
26 |
$899.98 |
| A6403 |
Sterile gauze>16 <= 48 sq in |
12 |
12 |
$725.00 |
| L4387 |
Non-pneum walk boot pre ots |
14 |
14 |
$722.78 |
| E0781 |
External ambulatory infus pu |
24 |
15 |
$662.22 |
| A7015 |
Aerosol mask used w nebulize |
498 |
452 |
$646.55 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$622.56 |
| J1642 |
Inj heparin sodium per 10 u |
54 |
25 |
$619.74 |
| A4322 |
Irrigation syringe |
31 |
31 |
$201.92 |
| A7046 |
Repl water chamber, pap dev |
13 |
12 |
$108.76 |
| A4455 |
Adhesive remover per ounce |
13 |
13 |
$48.10 |
| A4458 |
Reusable enema bag |
12 |
12 |
$0.00 |