| Code | Description | Claims | Beneficiaries | Total Paid |
| A4605 |
Trach suction cath close sys |
5,907 |
5,887 |
$9.88M |
| A4624 |
Tracheal suction tube |
4,427 |
4,402 |
$6.27M |
| A4340 |
Indwelling catheter special |
6,133 |
6,125 |
$5.52M |
| A4623 |
Tracheostomy inner cannula |
6,107 |
6,098 |
$3.61M |
| A4351 |
Straight tip urine catheter |
6,008 |
6,003 |
$3.48M |
| A4344 |
Cath indw foley 2 way silicn |
6,116 |
6,107 |
$3.13M |
| A7521 |
Trach/laryn tube cuffed |
4,127 |
4,123 |
$2.97M |
| A7520 |
Trach/laryn tube non-cuffed |
3,538 |
3,503 |
$2.28M |
| A4629 |
Tracheostomy care kit |
4,125 |
4,122 |
$861K |
| A7526 |
Tracheostomy tube collar |
4,103 |
4,100 |
$836K |
| E1399 |
Durable medical equipment mi |
316 |
315 |
$701K |
| E0465 |
Home vent invasive interface |
231 |
230 |
$410K |
| A4606 |
Oxygen probe used w oximeter |
585 |
585 |
$174K |
| E1390 |
Oxygen concentrator |
783 |
778 |
$106K |
| E0445 |
Oximeter non-invasive |
142 |
142 |
$102K |
| E0443 |
Portable 02 contents, gas |
1,071 |
678 |
$64K |
| A4322 |
Irrigation syringe |
534 |
534 |
$57K |
| A7002 |
Tubing used w suction pump |
732 |
730 |
$28K |
| E0431 |
Portable gaseous 02 |
620 |
618 |
$14K |
| A4628 |
Oropharyngeal suction cath |
569 |
568 |
$13K |
| A7000 |
Disposable canister for pump |
37 |
35 |
$3K |
| E0600 |
Suction pump portab hom modl |
14 |
13 |
$2K |
| A4927 |
Non-sterile gloves |
37 |
37 |
$763.88 |
| E0570 |
Nebulizer with compression |
12 |
12 |
$759.07 |