| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
6,109 |
4,599 |
$2.35M |
| E1390 |
Oxygen concentrator |
18,584 |
15,639 |
$901K |
| E0466 |
Home vent non-invasive inter |
1,907 |
1,399 |
$743K |
| B4035 |
Enteral feed supp pump per d |
3,116 |
2,472 |
$525K |
| A4629 |
Tracheostomy care kit |
8,996 |
6,935 |
$451K |
| A4624 |
Tracheal suction tube |
6,121 |
4,597 |
$367K |
| E0482 |
Cough stimulating device |
2,022 |
1,574 |
$327K |
| A7507 |
Integrated filter & holder |
6,460 |
4,940 |
$324K |
| E0445 |
Oximeter non-invasive |
5,058 |
4,287 |
$309K |
| A7526 |
Tracheostomy tube collar |
9,097 |
6,761 |
$263K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,804 |
1,286 |
$254K |
| A4606 |
Oxygen probe used w oximeter |
18,889 |
7,174 |
$224K |
| A4217 |
Sterile water/saline, 500 ml |
4,765 |
3,360 |
$191K |
| E0431 |
Portable gaseous 02 |
16,034 |
13,498 |
$189K |
| A4628 |
Oropharyngeal suction cath |
11,461 |
9,072 |
$146K |
| A4605 |
Trach suction cath close sys |
3,290 |
2,555 |
$138K |
| A7000 |
Disposable canister for pump |
13,026 |
10,328 |
$125K |
| E0600 |
Suction pump portab hom modl |
5,916 |
5,048 |
$112K |
| B4161 |
Ef ped hydrolyzed/amino acid |
216 |
172 |
$107K |
| A4623 |
Tracheostomy inner cannula |
2,787 |
1,920 |
$105K |
| A7002 |
Tubing used w suction pump |
13,557 |
10,646 |
$101K |
| B9002 |
Enter nutr inf pump any type |
1,591 |
1,312 |
$82K |
| A4216 |
Sterile water/saline, 10 ml |
6,854 |
5,000 |
$74K |
| E0601 |
Cont airway pressure device |
1,832 |
1,503 |
$46K |
| A7520 |
Trach/laryn tube non-cuffed |
1,639 |
1,378 |
$37K |
| A7030 |
Cpap full face mask |
668 |
528 |
$33K |
| A4322 |
Irrigation syringe |
3,683 |
2,936 |
$29K |
| E0562 |
Humidifier heated used w pap |
3,039 |
2,420 |
$25K |
| E0565 |
Compressor air power source |
968 |
821 |
$24K |
| E0570 |
Nebulizer with compression |
4,111 |
3,545 |
$23K |
| E0471 |
Rad w/backup non inv intrfc |
184 |
140 |
$19K |
| A7521 |
Trach/laryn tube cuffed |
882 |
645 |
$17K |
| B4088 |
Gastro/jejuno tube, low-pro |
641 |
571 |
$15K |
| A7037 |
Pos airway pressure tubing |
1,597 |
1,346 |
$13K |
| E0550 |
Humidif extens supple w ippb |
736 |
532 |
$12K |
| A7003 |
Nebulizer administration set |
6,930 |
5,136 |
$12K |
| A7007 |
Lg vol nebulizer disposable |
2,907 |
2,230 |
$11K |
| E0776 |
Iv pole |
1,250 |
1,042 |
$9K |
| A7012 |
Nebulizer water collec devic |
2,952 |
2,258 |
$9K |
| A4402 |
Lubricant per ounce |
2,608 |
2,036 |
$8K |
| A7035 |
Pos airway press headgear |
672 |
547 |
$8K |
| A7038 |
Pos airway pressure filter |
3,034 |
2,544 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
464 |
311 |
$6K |
| A7034 |
Nasal application device |
170 |
157 |
$6K |
| K0001 |
Standard wheelchair |
888 |
460 |
$4K |
| A4927 |
Non-sterile gloves |
650 |
562 |
$4K |
| A4618 |
Breathing circuits |
647 |
457 |
$3K |
| A4450 |
Non-waterproof tape |
3,553 |
2,702 |
$3K |
| A7525 |
Tracheostomy mask |
2,627 |
2,113 |
$3K |
| A6402 |
Sterile gauze <= 16 sq in |
908 |
702 |
$3K |
| A7010 |
Disposable corrugated tubing |
243 |
202 |
$2K |
| A7005 |
Nondisposable nebulizer set |
210 |
182 |
$2K |
| A7046 |
Repl water chamber, pap dev |
232 |
186 |
$2K |
| B4034 |
Enter feed supkit syr by day |
18 |
12 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
1,268 |
1,150 |
$1K |
| B4087 |
Gastro/jejuno tube, std |
30 |
24 |
$1K |
| A7039 |
Filter, non disposable w pap |
271 |
206 |
$1K |
| A7020 |
Interface, cough stim device |
89 |
82 |
$782.91 |
| K0195 |
Elevating whlchair leg rests |
235 |
109 |
$686.71 |
| A4604 |
Tubing with heating element |
13 |
13 |
$377.75 |