| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,023 |
1,955 |
$268K |
| B4035 |
Enteral feed supp pump per d |
1,333 |
1,218 |
$237K |
| E0465 |
Home vent invasive interface |
392 |
291 |
$210K |
| E0445 |
Oximeter non-invasive |
2,128 |
2,052 |
$138K |
| B9998 |
Enteral supp not otherwise c |
1,517 |
886 |
$130K |
| A6197 |
Alginate drsg >16 <=48 sq in |
760 |
712 |
$98K |
| A6196 |
Alginate dressing <=16 sq in |
713 |
670 |
$73K |
| A4624 |
Tracheal suction tube |
419 |
403 |
$72K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
777 |
729 |
$66K |
| E0431 |
Portable gaseous 02 |
1,510 |
1,454 |
$57K |
| A6251 |
Absorpt drg <=16 sq in w/o b |
1,130 |
1,042 |
$57K |
| B9002 |
Enter nutr inf pump any type |
880 |
841 |
$54K |
| B4088 |
Gastro/jejuno tube, low-pro |
687 |
650 |
$45K |
| A7002 |
Tubing used w suction pump |
1,324 |
1,203 |
$38K |
| A9900 |
Supply/accessory/service |
253 |
185 |
$32K |
| A7508 |
Housing & integrated adhesiv |
711 |
650 |
$30K |
| A7507 |
Integrated filter & holder |
630 |
574 |
$25K |
| A9999 |
Dme supply or accessory, nos |
610 |
458 |
$24K |
| E0776 |
Iv pole |
369 |
361 |
$24K |
| A7000 |
Disposable canister for pump |
1,224 |
1,118 |
$19K |
| A4629 |
Tracheostomy care kit |
832 |
760 |
$15K |
| B4034 |
Enter feed supkit syr by day |
363 |
350 |
$13K |
| A7526 |
Tracheostomy tube collar |
934 |
846 |
$12K |
| A6402 |
Sterile gauze <= 16 sq in |
1,385 |
1,267 |
$8K |
| E0600 |
Suction pump portab hom modl |
238 |
218 |
$6K |
| A4213 |
20+ cc syringe only |
129 |
127 |
$6K |
| A7520 |
Trach/laryn tube non-cuffed |
201 |
195 |
$5K |
| A7506 |
Hmes/trachvalve adhesivedisk |
341 |
301 |
$2K |
| A4628 |
Oropharyngeal suction cath |
276 |
175 |
$2K |
| A4450 |
Non-waterproof tape |
184 |
176 |
$1K |
| A4618 |
Breathing circuits |
64 |
62 |
$1K |