| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0508 |
Miscellaneous supply or accessory for use with an implanted ventricular assist device |
4,605 |
3,906 |
$4.37M |
| E1399 |
Durable medical equipment, miscellaneous |
2,538 |
2,214 |
$2.99M |
| Q0509 |
Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a |
2,266 |
1,907 |
$656K |
| G0249 |
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests |
2,217 |
2,029 |
$28K |
| A5200 |
Percutaneous catheter/tube anchoring device, adhesive skin attachment |
272 |
241 |
$11K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
158 |
144 |
$3K |
| A4248 |
Chlorhexidine containing antiseptic, 1 ml |
16 |
13 |
$1K |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
15 |
12 |
$209.56 |
| A4927 |
Gloves, non-sterile, per 100 |
30 |
26 |
$208.58 |
| A4930 |
Gloves, sterile, per pair |
15 |
12 |
$115.60 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
14 |
12 |
$57.60 |
| A4928 |
Surgical mask, per 20 |
16 |
13 |
$3.06 |
| A9270 |
Non-covered item or service |
18 |
15 |
$0.00 |