| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,848 |
448 |
$131K |
| A4402 |
Lubricant, per ounce |
101 |
101 |
$19K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,646 |
376 |
$2K |
| A4623 |
Tracheostomy, inner cannula |
4,810 |
170 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,185 |
313 |
$1K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
4,861 |
170 |
$658.19 |
| 97535 |
Self-care/home management training, each 15 minutes |
403 |
51 |
$602.35 |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
200 |
12 |
$520.02 |
| 97116 |
|
123 |
12 |
$366.66 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
854 |
55 |
$168.31 |
| 97162 |
|
97 |
93 |
$150.22 |
| A7526 |
Tracheostomy tube collar/holder, each |
2,612 |
169 |
$35.12 |
| A7525 |
Tracheostomy mask, each |
601 |
145 |
$21.78 |
| 97166 |
|
27 |
27 |
$20.00 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
12 |
12 |
$0.26 |
| 0100 |
|
12 |
12 |
$0.00 |
| 0430 |
|
449 |
28 |
$0.00 |