| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
62,567 |
5,965 |
$2.27M |
| E0466 |
Home vent non-invasive inter |
1,486 |
1,475 |
$700K |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,089 |
995 |
$658K |
| 99602 |
Nursing care in home rn |
4,377 |
1,991 |
$549K |
| E0465 |
Home vent invasive interface |
709 |
590 |
$436K |
| 99601 |
|
5,190 |
2,363 |
$425K |
| S9338 |
Hit immunotherapy diem |
4,823 |
2,755 |
$399K |
| E1390 |
Oxygen concentrator |
1,569 |
1,551 |
$196K |
| B4088 |
Gastro/jejuno tube, low-pro |
910 |
899 |
$125K |
| S9374 |
Hit hydra 1 liter diem |
1,409 |
879 |
$105K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
587 |
542 |
$102K |
| S9500 |
Hit antibiotic q24h diem |
374 |
128 |
$76K |
| A4624 |
Tracheal suction tube |
410 |
360 |
$76K |
| S9343 |
Hit enteral bolus nurs |
1,291 |
242 |
$64K |
| J1559 |
Hizentra injection |
185 |
37 |
$63K |
| E0482 |
Cough stimulating device |
345 |
336 |
$48K |
| E0445 |
Oximeter non-invasive |
596 |
593 |
$47K |
| E0431 |
Portable gaseous 02 |
1,163 |
1,161 |
$25K |
| S9501 |
Hit antibiotic q12h diem |
96 |
25 |
$19K |
| A4629 |
Tracheostomy care kit |
138 |
137 |
$12K |
| A7526 |
Tracheostomy tube collar |
420 |
371 |
$12K |
| B4152 |
Ef calorie dense>/=1.5kcal |
65 |
53 |
$11K |
| A4927 |
Non-sterile gloves |
673 |
641 |
$11K |
| A7507 |
Integrated filter & holder |
167 |
136 |
$11K |
| E0600 |
Suction pump portab hom modl |
504 |
500 |
$10K |
| A4628 |
Oropharyngeal suction cath |
918 |
887 |
$10K |
| A4216 |
Sterile water/saline, 10 ml |
565 |
552 |
$6K |
| A4606 |
Oxygen probe used w oximeter |
201 |
183 |
$6K |
| A4605 |
Trach suction cath close sys |
103 |
97 |
$6K |
| B4149 |
Ef blenderized foods |
12 |
12 |
$5K |
| A7000 |
Disposable canister for pump |
597 |
548 |
$4K |
| A7003 |
Nebulizer administration set |
699 |
681 |
$2K |
| A7002 |
Tubing used w suction pump |
705 |
659 |
$2K |
| A7525 |
Tracheostomy mask |
126 |
119 |
$242.50 |