| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
7,717 |
6,024 |
$5.09M |
| E0466 |
Home vent non-invasive inter |
2,971 |
1,964 |
$1.31M |
| A4624 |
Tracheal suction tube |
3,907 |
3,707 |
$911K |
| A4483 |
Moisture exchanger |
3,384 |
3,237 |
$863K |
| A7520 |
Trach/laryn tube non-cuffed |
3,018 |
2,894 |
$734K |
| A4217 |
Sterile water/saline, 500 ml |
5,042 |
4,730 |
$572K |
| E1390 |
Oxygen concentrator |
5,770 |
5,601 |
$545K |
| A9999 |
Dme supply or accessory, nos |
5,038 |
4,870 |
$433K |
| A7521 |
Trach/laryn tube cuffed |
2,422 |
2,261 |
$411K |
| A4520 |
Incontinence garment anytype |
2,145 |
2,038 |
$365K |
| A7526 |
Tracheostomy tube collar |
6,117 |
4,621 |
$338K |
| T4534 |
Youth size pull-on |
1,617 |
1,575 |
$329K |
| E0445 |
Oximeter non-invasive |
1,559 |
1,460 |
$224K |
| A9900 |
Supply/accessory/service |
3,064 |
2,244 |
$201K |
| A4623 |
Tracheostomy inner cannula |
2,357 |
1,950 |
$186K |
| A4605 |
Trach suction cath close sys |
1,362 |
1,283 |
$181K |
| A4606 |
Oxygen probe used w oximeter |
1,645 |
1,500 |
$128K |
| A4629 |
Tracheostomy care kit |
1,603 |
1,507 |
$116K |
| E0439 |
Stationary liquid 02 |
1,324 |
1,275 |
$105K |
| A6402 |
Sterile gauze <= 16 sq in |
5,575 |
5,303 |
$95K |
| E0431 |
Portable gaseous 02 |
5,566 |
5,418 |
$90K |
| A4618 |
Breathing circuits |
4,578 |
4,276 |
$79K |
| A4927 |
Non-sterile gloves |
5,565 |
5,401 |
$71K |
| A4554 |
Disposable underpads |
1,702 |
1,667 |
$68K |
| T4533 |
Youth size brief/diaper |
302 |
297 |
$60K |
| E0482 |
Cough stimulating device |
150 |
147 |
$57K |
| A4216 |
Sterile water/saline, 10 ml |
2,914 |
2,767 |
$48K |
| T4527 |
Adult size pull-on lg |
326 |
317 |
$43K |
| A7000 |
Disposable canister for pump |
5,550 |
5,218 |
$41K |
| A7046 |
Repl water chamber, pap dev |
1,615 |
1,494 |
$38K |
| E0600 |
Suction pump portab hom modl |
1,031 |
892 |
$35K |
| T4523 |
Adult size brief/diaper lg |
292 |
286 |
$29K |
| E0434 |
Portable liquid 02 |
1,436 |
1,396 |
$27K |
| T4526 |
Adult size pull-on med |
86 |
86 |
$24K |
| A4628 |
Oropharyngeal suction cath |
3,510 |
3,337 |
$22K |
| E0562 |
Humidifier heated used w pap |
1,296 |
1,154 |
$16K |
| A7004 |
Disposable nebulizer sml vol |
4,327 |
4,088 |
$14K |
| A4402 |
Lubricant per ounce |
1,766 |
1,688 |
$11K |
| A7002 |
Tubing used w suction pump |
2,646 |
2,555 |
$10K |
| A7045 |
Repl exhalation port for pap |
643 |
605 |
$9K |
| A4452 |
Waterproof tape |
904 |
882 |
$8K |
| A4244 |
Alcohol or peroxide per pint |
1,603 |
1,578 |
$8K |
| A9286 |
Any hygienic item, device |
710 |
319 |
$7K |
| T4522 |
Adult size brief/diaper med |
51 |
50 |
$6K |
| A7525 |
Tracheostomy mask |
1,016 |
914 |
$6K |
| A7020 |
Interface, cough stim device |
482 |
469 |
$5K |
| A7035 |
Pos airway press headgear |
222 |
207 |
$3K |
| A4450 |
Non-waterproof tape |
860 |
821 |
$2K |
| E0565 |
Compressor air power source |
68 |
67 |
$2K |
| A7037 |
Pos airway pressure tubing |
63 |
63 |
$2K |
| A7018 |
Water distilled w/nebulizer |
262 |
255 |
$2K |
| E0570 |
Nebulizer with compression |
85 |
84 |
$1K |
| A7013 |
Disposable compressor filter |
2,572 |
2,463 |
$994.90 |
| A7031 |
Replacement facemask interfa |
40 |
40 |
$865.49 |
| A4616 |
Tubing (oxygen) per foot |
292 |
262 |
$385.41 |
| A4657 |
Syringe w/wo needle |
362 |
341 |
$291.00 |
| A7012 |
Nebulizer water collec devic |
49 |
48 |
$203.76 |