| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
3,782 |
3,148 |
$6.26M |
| E0565 |
Compressor air power source |
1,768 |
1,632 |
$2.45M |
| E0466 |
Home vent non-invasive inter |
4,760 |
4,492 |
$2.20M |
| E1399 |
Durable medical equipment mi |
4,695 |
2,542 |
$1.87M |
| E1390 |
Oxygen concentrator |
15,784 |
14,948 |
$1.15M |
| E0445 |
Oximeter non-invasive |
2,456 |
2,165 |
$405K |
| B9998 |
Enteral supp not otherwise c |
1,776 |
988 |
$369K |
| A4624 |
Tracheal suction tube |
1,952 |
1,722 |
$306K |
| B4035 |
Enteral feed supp pump per d |
2,658 |
1,043 |
$207K |
| E0431 |
Portable gaseous 02 |
12,035 |
11,334 |
$156K |
| A4606 |
Oxygen probe used w oximeter |
1,872 |
1,529 |
$115K |
| A7526 |
Tracheostomy tube collar |
2,790 |
2,541 |
$110K |
| B9002 |
Enter nutr inf pump any type |
1,387 |
1,289 |
$73K |
| E0600 |
Suction pump portab hom modl |
1,233 |
1,113 |
$69K |
| A7509 |
Heat & moisture exchange sys |
1,888 |
1,686 |
$55K |
| A4605 |
Trach suction cath close sys |
1,154 |
1,074 |
$55K |
| A4629 |
Tracheostomy care kit |
1,620 |
1,468 |
$53K |
| E0482 |
Cough stimulating device |
293 |
264 |
$51K |
| A4623 |
Tracheostomy inner cannula |
805 |
689 |
$42K |
| T4541 |
Large disposable underpad |
1,153 |
1,034 |
$38K |
| E0570 |
Nebulizer with compression |
1,677 |
1,533 |
$35K |
| A6402 |
Sterile gauze <= 16 sq in |
3,009 |
2,586 |
$30K |
| A7000 |
Disposable canister for pump |
3,351 |
2,973 |
$25K |
| A4927 |
Non-sterile gloves |
2,047 |
1,733 |
$24K |
| A6216 |
Non-sterile gauze<=16 sq in |
2,626 |
2,278 |
$24K |
| E0601 |
Cont airway pressure device |
643 |
619 |
$23K |
| A7046 |
Repl water chamber, pap dev |
1,457 |
1,266 |
$22K |
| A4628 |
Oropharyngeal suction cath |
2,885 |
2,411 |
$21K |
| E1392 |
Portable oxygen concentrator |
1,192 |
1,170 |
$20K |
| A4216 |
Sterile water/saline, 10 ml |
1,538 |
1,381 |
$18K |
| A7521 |
Trach/laryn tube cuffed |
78 |
66 |
$17K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
49 |
45 |
$15K |
| A7002 |
Tubing used w suction pump |
3,357 |
2,912 |
$12K |
| A7505 |
Hmes or trach valve housing |
261 |
146 |
$10K |
| A7030 |
Cpap full face mask |
116 |
112 |
$8K |
| L8501 |
Tracheostomy speaking valve |
162 |
137 |
$7K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
41 |
39 |
$7K |
| B4161 |
Ef ped hydrolyzed/amino acid |
12 |
12 |
$7K |
| A7003 |
Nebulizer administration set |
2,498 |
2,204 |
$7K |
| A4217 |
Sterile water/saline, 500 ml |
603 |
524 |
$6K |
| E0562 |
Humidifier heated used w pap |
63 |
62 |
$6K |
| A7007 |
Lg vol nebulizer disposable |
1,122 |
980 |
$5K |
| A4554 |
Disposable underpads |
239 |
224 |
$4K |
| A7037 |
Pos airway pressure tubing |
181 |
168 |
$3K |
| E0560 |
Humidifier supplemental w/ i |
635 |
550 |
$2K |
| A7035 |
Pos airway press headgear |
152 |
145 |
$2K |
| A7520 |
Trach/laryn tube non-cuffed |
17 |
13 |
$2K |
| B4088 |
Gastro/jejuno tube, low-pro |
41 |
41 |
$2K |
| A4322 |
Irrigation syringe |
88 |
87 |
$1K |
| A4332 |
Lube sterile packet |
684 |
574 |
$1K |
| E0550 |
Humidif extens supple w ippb |
43 |
38 |
$1K |
| A4213 |
20+ cc syringe only |
184 |
159 |
$622.96 |
| A7525 |
Tracheostomy mask |
475 |
414 |
$401.34 |
| A4450 |
Non-waterproof tape |
347 |
331 |
$349.54 |
| A6453 |
Self-adher band w <3"/yd |
175 |
161 |
$315.97 |
| A4245 |
Alcohol wipes per box |
58 |
58 |
$290.08 |
| A7010 |
Disposable corrugated tubing |
18 |
14 |
$167.54 |
| A4209 |
5+ cc sterile syringe&needle |
32 |
25 |
$60.54 |
| A7015 |
Aerosol mask used w nebulize |
13 |
12 |
$16.91 |