| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
6,275 |
4,192 |
$5.28M |
| B4035 |
Enteral feed supp pump per d |
9,847 |
8,021 |
$2.41M |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,738 |
3,537 |
$1.78M |
| E0445 |
Oximeter non-invasive |
10,402 |
8,610 |
$1.54M |
| E1390 |
Oxygen concentrator |
12,154 |
10,057 |
$1.41M |
| B4149 |
Ef blenderized foods |
2,960 |
2,177 |
$921K |
| E0466 |
Home vent non-invasive inter |
1,389 |
1,007 |
$850K |
| A4624 |
Tracheal suction tube |
3,400 |
2,703 |
$699K |
| A4483 |
Moisture exchanger |
2,157 |
1,738 |
$553K |
| E1399 |
Durable medical equipment mi |
4,527 |
2,235 |
$487K |
| B9002 |
Enter nutr inf pump any type |
4,990 |
4,251 |
$467K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,782 |
3,059 |
$422K |
| A4217 |
Sterile water/saline, 500 ml |
5,255 |
3,683 |
$360K |
| A4629 |
Tracheostomy care kit |
2,890 |
2,159 |
$353K |
| A7526 |
Tracheostomy tube collar |
5,944 |
4,731 |
$263K |
| E0431 |
Portable gaseous 02 |
11,570 |
9,828 |
$261K |
| A7520 |
Trach/laryn tube non-cuffed |
3,143 |
2,010 |
$239K |
| B9998 |
Enteral supp not otherwise c |
2,887 |
1,787 |
$227K |
| E0424 |
Stationary compressed gas 02 |
1,383 |
1,225 |
$205K |
| S8189 |
Trach supply noc |
1,035 |
505 |
$186K |
| E0619 |
Apnea monitor w recorder |
901 |
795 |
$162K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,465 |
2,039 |
$160K |
| A7000 |
Disposable canister for pump |
6,130 |
4,901 |
$148K |
| B4155 |
Ef incomplete/modular |
1,611 |
1,250 |
$122K |
| A7507 |
Integrated filter & holder |
1,174 |
922 |
$76K |
| A4605 |
Trach suction cath close sys |
1,139 |
812 |
$74K |
| L8501 |
Tracheostomy speaking valve |
654 |
517 |
$70K |
| A7521 |
Trach/laryn tube cuffed |
629 |
351 |
$58K |
| A4628 |
Oropharyngeal suction cath |
4,160 |
3,283 |
$47K |
| B4158 |
Ef ped complete intact nut |
351 |
282 |
$30K |
| E0601 |
Cont airway pressure device |
555 |
453 |
$29K |
| E0600 |
Suction pump portab hom modl |
403 |
327 |
$28K |
| A7002 |
Tubing used w suction pump |
6,017 |
4,757 |
$28K |
| A9999 |
Dme supply or accessory, nos |
145 |
98 |
$25K |
| A4927 |
Non-sterile gloves |
2,318 |
1,782 |
$23K |
| E0482 |
Cough stimulating device |
81 |
64 |
$22K |
| A4216 |
Sterile water/saline, 10 ml |
1,767 |
1,147 |
$16K |
| E0776 |
Iv pole |
269 |
241 |
$14K |
| A7007 |
Lg vol nebulizer disposable |
1,480 |
1,197 |
$11K |
| A7525 |
Tracheostomy mask |
2,827 |
2,028 |
$10K |
| A7012 |
Nebulizer water collec devic |
1,391 |
1,177 |
$10K |
| A7003 |
Nebulizer administration set |
3,772 |
3,032 |
$9K |
| B4150 |
Ef complet w/intact nutrient |
38 |
26 |
$6K |
| A4606 |
Oxygen probe used w oximeter |
429 |
261 |
$5K |
| A4402 |
Lubricant per ounce |
1,145 |
894 |
$5K |
| A7010 |
Disposable corrugated tubing |
208 |
181 |
$3K |
| A4244 |
Alcohol or peroxide per pint |
2,268 |
1,823 |
$2K |
| A4245 |
Alcohol wipes per box |
507 |
425 |
$1K |
| A4604 |
Tubing with heating element |
14 |
12 |
$336.42 |
| A7038 |
Pos airway pressure filter |
92 |
66 |
$324.99 |
| A9900 |
Supply/accessory/service |
296 |
246 |
$247.12 |
| A7015 |
Aerosol mask used w nebulize |
26 |
24 |
$31.92 |