| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
4,337 |
3,784 |
$3.20M |
| B4161 |
Ef ped hydrolyzed/amino acid |
3,118 |
2,313 |
$1.45M |
| Y2032 |
|
2,844 |
2,543 |
$872K |
| B4035 |
Enteral feed supp pump per d |
4,618 |
4,307 |
$715K |
| B9998 |
Enteral supp not otherwise c |
8,055 |
5,970 |
$638K |
| A7521 |
Trach/laryn tube cuffed |
4,144 |
1,584 |
$586K |
| A4483 |
Moisture exchanger |
1,854 |
1,667 |
$571K |
| E1390 |
Oxygen concentrator |
6,730 |
6,223 |
$547K |
| A7520 |
Trach/laryn tube non-cuffed |
2,844 |
2,002 |
$484K |
| B4149 |
Ef blenderized foods |
1,621 |
1,234 |
$413K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,103 |
1,634 |
$341K |
| A4606 |
Oxygen probe used w oximeter |
19,103 |
4,667 |
$298K |
| E0466 |
Home vent non-invasive inter |
370 |
340 |
$246K |
| E0445 |
Oximeter non-invasive |
1,032 |
924 |
$225K |
| A4624 |
Tracheal suction tube |
1,817 |
1,642 |
$188K |
| A4217 |
Sterile water/saline, 500 ml |
2,708 |
2,491 |
$170K |
| E0431 |
Portable gaseous 02 |
5,015 |
4,654 |
$166K |
| A7526 |
Tracheostomy tube collar |
3,605 |
2,999 |
$162K |
| T4522 |
Adult size brief/diaper med |
1,322 |
1,158 |
$134K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,455 |
1,331 |
$134K |
| B4153 |
Ef hydrolyzed/amino acids |
217 |
209 |
$97K |
| T4541 |
Large disposable underpad |
2,503 |
2,339 |
$90K |
| A4605 |
Trach suction cath close sys |
762 |
705 |
$78K |
| T4523 |
Adult size brief/diaper lg |
705 |
646 |
$74K |
| A4930 |
Sterile, gloves per pair |
1,618 |
1,507 |
$69K |
| A6402 |
Sterile gauze <= 16 sq in |
3,818 |
3,563 |
$64K |
| T4521 |
Adult size brief/diaper sm |
716 |
661 |
$63K |
| A4927 |
Non-sterile gloves |
4,338 |
3,995 |
$61K |
| A7000 |
Disposable canister for pump |
3,478 |
3,281 |
$58K |
| T4530 |
Ped size brief/diaper lg |
565 |
524 |
$47K |
| A7002 |
Tubing used w suction pump |
3,319 |
3,130 |
$37K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
759 |
673 |
$36K |
| B4155 |
Ef incomplete/modular |
1,014 |
876 |
$30K |
| T4535 |
Disposable liner/shield/pad |
790 |
734 |
$29K |
| A4322 |
Irrigation syringe |
2,762 |
2,609 |
$26K |
| A4629 |
Tracheostomy care kit |
508 |
474 |
$25K |
| A4452 |
Waterproof tape |
1,855 |
1,740 |
$23K |
| A4628 |
Oropharyngeal suction cath |
2,656 |
2,489 |
$22K |
| E0471 |
Rad w/backup non inv intrfc |
88 |
78 |
$21K |
| B4150 |
Ef complet w/intact nutrient |
97 |
89 |
$15K |
| A4216 |
Sterile water/saline, 10 ml |
1,364 |
1,276 |
$12K |
| A7018 |
Water distilled w/nebulizer |
3,012 |
2,801 |
$10K |
| A7003 |
Nebulizer administration set |
3,236 |
1,797 |
$10K |
| A7038 |
Pos airway pressure filter |
2,711 |
2,233 |
$7K |
| A7007 |
Lg vol nebulizer disposable |
971 |
586 |
$7K |
| A4450 |
Non-waterproof tape |
1,266 |
1,199 |
$6K |
| A4402 |
Lubricant per ounce |
1,322 |
1,236 |
$4K |
| E1399 |
Durable medical equipment mi |
83 |
69 |
$4K |
| A7525 |
Tracheostomy mask |
2,298 |
934 |
$4K |
| A7012 |
Nebulizer water collec devic |
815 |
436 |
$2K |
| A6454 |
Self-adher band w>=3" <5"/yd |
440 |
392 |
$2K |
| A4244 |
Alcohol or peroxide per pint |
1,114 |
997 |
$1K |
| A4351 |
Straight tip urine catheter |
14 |
12 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
197 |
94 |
$274.51 |
| A5120 |
Skin barrier, wipe or swab |
28 |
24 |
$204.00 |
| A7020 |
Interface, cough stim device |
42 |
38 |
$3.92 |
| A7045 |
Repl exhalation port for pap |
38 |
35 |
$0.00 |