| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home vent non-invasive inter |
979 |
838 |
$759K |
| E0465 |
Home vent invasive interface |
1,220 |
960 |
$716K |
| B4035 |
Enteral feed supp pump per d |
4,153 |
2,623 |
$670K |
| E1390 |
Oxygen concentrator |
5,785 |
5,515 |
$485K |
| B4161 |
Ef ped hydrolyzed/amino acid |
601 |
259 |
$448K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,336 |
742 |
$445K |
| A4606 |
Oxygen probe used w oximeter |
1,584 |
1,170 |
$118K |
| E0445 |
Oximeter non-invasive |
1,183 |
1,144 |
$87K |
| E0482 |
Cough stimulating device |
166 |
165 |
$71K |
| E0431 |
Portable gaseous 02 |
4,064 |
3,915 |
$68K |
| B4149 |
Ef blenderized foods |
488 |
158 |
$54K |
| E0600 |
Suction pump portab hom modl |
1,283 |
1,201 |
$42K |
| E0601 |
Cont airway pressure device |
1,210 |
1,086 |
$38K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,067 |
942 |
$27K |
| A4217 |
Sterile water/saline, 500 ml |
447 |
373 |
$23K |
| A7030 |
Cpap full face mask |
435 |
364 |
$21K |
| A7526 |
Tracheostomy tube collar |
405 |
359 |
$21K |
| E0562 |
Humidifier heated used w pap |
686 |
611 |
$15K |
| A4604 |
Tubing with heating element |
706 |
616 |
$14K |
| A7507 |
Integrated filter & holder |
102 |
90 |
$11K |
| A7000 |
Disposable canister for pump |
1,114 |
1,005 |
$10K |
| A7520 |
Trach/laryn tube non-cuffed |
175 |
162 |
$10K |
| A7031 |
Replacement facemask interfa |
558 |
453 |
$9K |
| E0570 |
Nebulizer with compression |
463 |
430 |
$9K |
| A4624 |
Tracheal suction tube |
132 |
96 |
$9K |
| B4152 |
Ef calorie dense>/=1.5kcal |
245 |
106 |
$8K |
| B4034 |
Enter feed supkit syr by day |
168 |
64 |
$7K |
| A7002 |
Tubing used w suction pump |
1,252 |
1,083 |
$6K |
| A7038 |
Pos airway pressure filter |
1,236 |
1,073 |
$4K |
| A7034 |
Nasal application device |
74 |
62 |
$3K |
| E0565 |
Compressor air power source |
119 |
98 |
$3K |
| A7035 |
Pos airway press headgear |
286 |
252 |
$3K |
| K0001 |
Standard wheelchair |
189 |
170 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
26 |
24 |
$3K |
| A4305 |
Drug delivery system >=50 ml |
30 |
14 |
$3K |
| A4628 |
Oropharyngeal suction cath |
269 |
226 |
$2K |
| B9002 |
Enter nutr inf pump any type |
40 |
31 |
$2K |
| A7046 |
Repl water chamber, pap dev |
305 |
262 |
$2K |
| A4221 |
Supp non-insulin inf cath/wk |
98 |
27 |
$1K |
| B4150 |
Ef complet w/intact nutrient |
30 |
12 |
$1K |
| A4629 |
Tracheostomy care kit |
27 |
24 |
$1K |
| A4927 |
Non-sterile gloves |
52 |
49 |
$551.70 |
| A7039 |
Filter, non disposable w pap |
76 |
63 |
$151.00 |
| A7003 |
Nebulizer administration set |
41 |
37 |
$72.12 |