| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
1,146 |
1,146 |
$1.30M |
| B4035 |
Enteral feed supp pump per d |
3,620 |
3,607 |
$858K |
| B4149 |
Ef blenderized foods |
1,184 |
1,165 |
$542K |
| B4161 |
Ef ped hydrolyzed/amino acid |
489 |
482 |
$389K |
| A6218 |
Non-sterile gauze > 48 sq in |
1,411 |
1,411 |
$261K |
| A4606 |
Oxygen probe used w oximeter |
2,116 |
2,113 |
$192K |
| E1390 |
Oxygen concentrator |
1,635 |
1,635 |
$189K |
| A7507 |
Integrated filter & holder |
1,450 |
1,449 |
$129K |
| A4322 |
Irrigation syringe |
1,407 |
1,403 |
$128K |
| A7526 |
Tracheostomy tube collar |
1,386 |
1,386 |
$96K |
| A4624 |
Tracheal suction tube |
368 |
367 |
$83K |
| B4088 |
Gastro/jejuno tube, low-pro |
439 |
433 |
$69K |
| E0445 |
Oximeter non-invasive |
358 |
358 |
$64K |
| A7000 |
Disposable canister for pump |
1,933 |
1,933 |
$63K |
| A4605 |
Trach suction cath close sys |
914 |
914 |
$62K |
| A6402 |
Sterile gauze <= 16 sq in |
2,647 |
2,645 |
$61K |
| A4628 |
Oropharyngeal suction cath |
1,401 |
1,399 |
$49K |
| A4209 |
5+ cc sterile syringe&needle |
2,287 |
2,283 |
$46K |
| A4452 |
Waterproof tape |
1,185 |
1,179 |
$45K |
| B4036 |
Enteral feed sup kit grav by |
268 |
267 |
$42K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
135 |
135 |
$40K |
| E0431 |
Portable gaseous 02 |
1,400 |
1,400 |
$30K |
| A7503 |
Hmes filter holder or cap |
417 |
417 |
$23K |
| A7002 |
Tubing used w suction pump |
2,274 |
2,274 |
$16K |
| A4629 |
Tracheostomy care kit |
342 |
341 |
$15K |
| A4245 |
Alcohol wipes per box |
1,226 |
1,226 |
$13K |
| E0570 |
Nebulizer with compression |
114 |
114 |
$12K |
| A4450 |
Non-waterproof tape |
1,051 |
1,051 |
$9K |
| A7003 |
Nebulizer administration set |
2,414 |
2,413 |
$9K |
| A4402 |
Lubricant per ounce |
801 |
801 |
$6K |
| A6453 |
Self-adher band w <3"/yd |
296 |
296 |
$6K |
| A4208 |
3 cc sterile syringe&needle |
602 |
602 |
$5K |
| A7038 |
Pos airway pressure filter |
661 |
661 |
$4K |
| A6260 |
Wound cleanser any type/size |
1,563 |
1,563 |
$4K |
| A7005 |
Nondisposable nebulizer set |
96 |
96 |
$2K |
| A7525 |
Tracheostomy mask |
227 |
227 |
$2K |
| A7013 |
Disposable compressor filter |
294 |
294 |
$893.97 |
| A4206 |
1 cc sterile syringe&needle |
12 |
12 |
$325.00 |
| A7015 |
Aerosol mask used w nebulize |
197 |
197 |
$273.81 |