| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4606 |
Oxygen probe for use with oximeter device, replacement |
7,342 |
3,292 |
$1.50M |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
2,582 |
1,049 |
$1.17M |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
10,131 |
5,860 |
$1.16M |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
6,285 |
2,538 |
$871K |
| B9998 |
Noc for enteral supplies |
18,354 |
7,145 |
$808K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
8,057 |
4,076 |
$806K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,237 |
1,000 |
$724K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,762 |
6,147 |
$574K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
2,087 |
845 |
$265K |
| A7526 |
Tracheostomy tube collar/holder, each |
5,286 |
2,458 |
$215K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
340 |
292 |
$194K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
240 |
124 |
$189K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,707 |
1,654 |
$186K |
| A4217 |
Sterile water/saline, 500 ml |
5,334 |
2,311 |
$172K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
4,997 |
1,352 |
$145K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
3,062 |
1,275 |
$143K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
2,025 |
1,357 |
$136K |
| A4483 |
Moisture exchanger, disposable, for use with invasive mechanical ventilation |
1,484 |
907 |
$127K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,258 |
792 |
$108K |
| E0619 |
Apnea monitor, with recording feature |
774 |
541 |
$106K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
3,515 |
1,874 |
$106K |
| E1399 |
Durable medical equipment, miscellaneous |
362 |
129 |
$105K |
| A7508 |
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each |
3,311 |
770 |
$76K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
2,723 |
1,691 |
$73K |
| S8189 |
Tracheostomy supply, not otherwise classified |
3,571 |
1,040 |
$72K |
| B9002 |
Enteral nutrition infusion pump, any type |
388 |
216 |
$59K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
21,167 |
3,463 |
$55K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
6,520 |
3,320 |
$48K |
| A4554 |
Disposable underpads, all sizes |
1,463 |
844 |
$45K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
4,083 |
1,778 |
$34K |
| A7000 |
Canister, disposable, used with suction pump, each |
6,540 |
3,594 |
$28K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
468 |
148 |
$24K |
| A4930 |
Gloves, sterile, per pair |
534 |
312 |
$23K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
766 |
467 |
$19K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
191 |
122 |
$15K |
| A7002 |
Tubing, used with suction pump, each |
7,615 |
3,612 |
$13K |
| A4927 |
Gloves, non-sterile, per 100 |
1,736 |
1,121 |
$11K |
| E0570 |
Nebulizer, with compressor |
372 |
300 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
214 |
195 |
$10K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
165 |
89 |
$9K |
| E1150 |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
69 |
64 |
$5K |
| A7525 |
Tracheostomy mask, each |
1,701 |
498 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,365 |
1,848 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
982 |
282 |
$3K |
| A4657 |
Syringe, with or without needle, each |
2,249 |
955 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
225 |
166 |
$3K |
| A4322 |
Irrigation syringe, bulb or piston, each |
207 |
90 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
58 |
51 |
$1K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
12 |
12 |
$1K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
12 |
12 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
191 |
92 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
72 |
42 |
$876.98 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
156 |
113 |
$535.48 |
| A4402 |
Lubricant, per ounce |
176 |
60 |
$318.96 |