| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
4,020 |
3,466 |
$1.16M |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,889 |
1,596 |
$1.00M |
| E0465 |
Home vent invasive interface |
1,022 |
787 |
$861K |
| E0482 |
Cough stimulating device |
2,354 |
1,955 |
$735K |
| E0445 |
Oximeter non-invasive |
3,626 |
2,964 |
$579K |
| E1390 |
Oxygen concentrator |
4,695 |
4,202 |
$509K |
| E0601 |
Cont airway pressure device |
7,859 |
7,242 |
$493K |
| E0471 |
Rad w/backup non inv intrfc |
1,271 |
1,126 |
$486K |
| B4149 |
Ef blenderized foods |
1,058 |
864 |
$418K |
| A7034 |
Nasal application device |
3,705 |
3,355 |
$296K |
| A4627 |
Spacer bag/reservoir |
5,985 |
5,679 |
$251K |
| E0562 |
Humidifier heated used w pap |
1,475 |
1,305 |
$241K |
| A4604 |
Tubing with heating element |
4,836 |
4,383 |
$198K |
| A4628 |
Oropharyngeal suction cath |
2,992 |
2,238 |
$171K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,073 |
942 |
$157K |
| E0570 |
Nebulizer with compression |
1,134 |
1,060 |
$138K |
| A7526 |
Tracheostomy tube collar |
2,872 |
1,920 |
$127K |
| A4605 |
Trach suction cath close sys |
1,041 |
790 |
$126K |
| E0431 |
Portable gaseous 02 |
5,552 |
4,328 |
$119K |
| A7035 |
Pos airway press headgear |
4,169 |
3,826 |
$111K |
| B9002 |
Enter nutr inf pump any type |
1,049 |
981 |
$109K |
| A7520 |
Trach/laryn tube non-cuffed |
1,342 |
848 |
$81K |
| A4624 |
Tracheal suction tube |
1,219 |
947 |
$66K |
| E0600 |
Suction pump portab hom modl |
2,228 |
1,853 |
$65K |
| A7000 |
Disposable canister for pump |
3,675 |
2,945 |
$53K |
| A4629 |
Tracheostomy care kit |
471 |
358 |
$43K |
| A7046 |
Repl water chamber, pap dev |
3,193 |
2,872 |
$43K |
| A4606 |
Oxygen probe used w oximeter |
2,158 |
809 |
$43K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,474 |
1,245 |
$42K |
| A7038 |
Pos airway pressure filter |
5,717 |
5,139 |
$36K |
| A7005 |
Nondisposable nebulizer set |
1,267 |
1,160 |
$28K |
| A6402 |
Sterile gauze <= 16 sq in |
2,510 |
1,850 |
$28K |
| A7030 |
Cpap full face mask |
192 |
182 |
$27K |
| A4927 |
Non-sterile gloves |
2,160 |
1,510 |
$19K |
| A7002 |
Tubing used w suction pump |
3,839 |
3,033 |
$17K |
| E0776 |
Iv pole |
702 |
657 |
$7K |
| A7032 |
Replacement nasal cushion |
157 |
102 |
$5K |
| A7003 |
Nebulizer administration set |
1,054 |
814 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,743 |
1,220 |
$3K |
| B4158 |
Ef ped complete intact nut |
13 |
12 |
$2K |
| A7013 |
Disposable compressor filter |
791 |
742 |
$510.21 |
| A7525 |
Tracheostomy mask |
34 |
12 |
$53.19 |
| A4213 |
20+ cc syringe only |
17 |
17 |
$48.52 |
| A9999 |
Dme supply or accessory, nos |
211 |
50 |
$28.20 |