| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
13,114 |
12,803 |
$3.34M |
| B4149 |
Ef blenderized foods |
7,184 |
6,513 |
$2.98M |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,761 |
4,373 |
$2.97M |
| E0465 |
Home vent invasive interface |
2,066 |
1,995 |
$1.90M |
| B4088 |
Gastro/jejuno tube, low-pro |
7,184 |
7,028 |
$1.03M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,210 |
3,978 |
$1.02M |
| E1390 |
Oxygen concentrator |
8,870 |
8,870 |
$1.01M |
| A4624 |
Tracheal suction tube |
2,824 |
2,756 |
$623K |
| E0445 |
Oximeter non-invasive |
3,371 |
3,371 |
$569K |
| B4036 |
Enteral feed sup kit grav by |
2,513 |
2,487 |
$433K |
| B4034 |
Enter feed supkit syr by day |
2,870 |
2,823 |
$413K |
| A4606 |
Oxygen probe used w oximeter |
6,552 |
4,907 |
$406K |
| E0443 |
Portable 02 contents, gas |
4,517 |
4,516 |
$218K |
| A7526 |
Tracheostomy tube collar |
2,829 |
2,801 |
$180K |
| E0431 |
Portable gaseous 02 |
7,777 |
7,777 |
$165K |
| A4629 |
Tracheostomy care kit |
1,839 |
1,814 |
$160K |
| A4628 |
Oropharyngeal suction cath |
6,277 |
6,162 |
$152K |
| B4150 |
Ef complet w/intact nutrient |
653 |
620 |
$132K |
| A7000 |
Disposable canister for pump |
7,495 |
7,377 |
$126K |
| A4605 |
Trach suction cath close sys |
1,727 |
1,716 |
$106K |
| A7507 |
Integrated filter & holder |
1,651 |
1,595 |
$101K |
| B4155 |
Ef incomplete/modular |
1,574 |
1,520 |
$84K |
| E0600 |
Suction pump portab hom modl |
1,420 |
1,410 |
$83K |
| A6402 |
Sterile gauze <= 16 sq in |
4,484 |
4,426 |
$75K |
| B4158 |
Ef ped complete intact nut |
272 |
246 |
$57K |
| E0483 |
Hi freq chest wall oscil sys |
87 |
87 |
$57K |
| A4322 |
Irrigation syringe |
4,323 |
4,248 |
$55K |
| E0776 |
Iv pole |
2,845 |
2,826 |
$51K |
| A7002 |
Tubing used w suction pump |
7,290 |
7,248 |
$48K |
| E0466 |
Home vent non-invasive inter |
48 |
48 |
$45K |
| B9002 |
Enter nutr inf pump any type |
46 |
46 |
$33K |
| E0260 |
Hosp bed semi-electr w/ matt |
318 |
316 |
$24K |
| A7003 |
Nebulizer administration set |
4,955 |
4,946 |
$19K |
| A7038 |
Pos airway pressure filter |
2,285 |
2,276 |
$14K |
| A7012 |
Nebulizer water collec devic |
1,066 |
1,045 |
$10K |
| A7525 |
Tracheostomy mask |
1,431 |
1,415 |
$10K |
| E0570 |
Nebulizer with compression |
151 |
150 |
$9K |
| A4450 |
Non-waterproof tape |
2,567 |
2,546 |
$9K |
| B4104 |
Additive for enteral formula |
116 |
113 |
$8K |
| E0630 |
Patient lift hydraulic |
126 |
126 |
$8K |
| A4332 |
Lube sterile packet |
858 |
853 |
$8K |
| A6257 |
Transparent film <= 16 sq in |
189 |
186 |
$7K |
| B4152 |
Ef calorie dense>/=1.5kcal |
27 |
25 |
$7K |
| A4452 |
Waterproof tape |
345 |
343 |
$6K |
| A7010 |
Disposable corrugated tubing |
332 |
332 |
$6K |
| A7015 |
Aerosol mask used w nebulize |
2,448 |
2,448 |
$4K |
| A7509 |
Heat & moisture exchange sys |
79 |
77 |
$3K |
| A7007 |
Lg vol nebulizer disposable |
397 |
388 |
$3K |
| A6260 |
Wound cleanser any type/size |
1,521 |
1,512 |
$3K |
| A6453 |
Self-adher band w <3"/yd |
1,236 |
1,224 |
$3K |
| E0565 |
Compressor air power source |
51 |
51 |
$3K |
| A7005 |
Nondisposable nebulizer set |
70 |
70 |
$2K |
| A4245 |
Alcohol wipes per box |
557 |
554 |
$1K |
| A4456 |
Adhesive remover, wipes |
53 |
52 |
$1K |
| A7046 |
Repl water chamber, pap dev |
63 |
63 |
$902.21 |
| A4213 |
20+ cc syringe only |
41 |
41 |
$540.46 |
| A5120 |
Skin barrier, wipe or swab |
26 |
26 |
$306.00 |
| A7013 |
Disposable compressor filter |
94 |
94 |
$267.55 |