| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
18,382 |
14,059 |
$30.35M |
| E0466 |
Home vent non-invasive inter |
14,658 |
13,406 |
$7.33M |
| B4035 |
Enteral feed supp pump per d |
36,891 |
28,428 |
$6.64M |
| E0565 |
Compressor air power source |
3,785 |
3,630 |
$6.25M |
| B4161 |
Ef ped hydrolyzed/amino acid |
8,994 |
8,104 |
$4.31M |
| E1399 |
Durable medical equipment mi |
25,243 |
17,298 |
$3.23M |
| E1390 |
Oxygen concentrator |
28,611 |
26,946 |
$2.82M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
8,915 |
8,159 |
$2.13M |
| B9998 |
Enteral supp not otherwise c |
10,363 |
8,797 |
$1.44M |
| B9002 |
Enter nutr inf pump any type |
23,318 |
22,357 |
$1.42M |
| B4153 |
Ef hydrolyzed/amino acids |
2,226 |
2,021 |
$1.39M |
| A4606 |
Oxygen probe used w oximeter |
36,365 |
13,324 |
$1.32M |
| A4624 |
Tracheal suction tube |
7,198 |
6,536 |
$1.25M |
| E0445 |
Oximeter non-invasive |
10,619 |
9,488 |
$650K |
| E0482 |
Cough stimulating device |
2,283 |
2,180 |
$562K |
| B4088 |
Gastro/jejuno tube, low-pro |
5,838 |
5,513 |
$553K |
| A7526 |
Tracheostomy tube collar |
10,268 |
9,082 |
$471K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
2,695 |
2,504 |
$452K |
| E0431 |
Portable gaseous 02 |
24,287 |
23,202 |
$432K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
3,641 |
3,284 |
$410K |
| B4150 |
Ef complet w/intact nutrient |
2,753 |
2,523 |
$391K |
| B4149 |
Ef blenderized foods |
1,670 |
1,561 |
$362K |
| A4605 |
Trach suction cath close sys |
3,826 |
3,453 |
$361K |
| A4927 |
Non-sterile gloves |
14,379 |
12,322 |
$327K |
| A7507 |
Integrated filter & holder |
5,879 |
5,144 |
$320K |
| A6212 |
Foam drg <=16 sq in w/border |
1,153 |
1,018 |
$226K |
| E0600 |
Suction pump portab hom modl |
6,320 |
5,992 |
$184K |
| B4158 |
Ef ped complete intact nut |
1,100 |
966 |
$179K |
| A4628 |
Oropharyngeal suction cath |
12,758 |
11,435 |
$177K |
| A7000 |
Disposable canister for pump |
17,237 |
15,338 |
$174K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,088 |
1,006 |
$168K |
| A7520 |
Trach/laryn tube non-cuffed |
1,784 |
1,622 |
$142K |
| A7521 |
Trach/laryn tube cuffed |
1,605 |
1,416 |
$132K |
| A4353 |
Intermittent urinary cath |
653 |
553 |
$119K |
| A4629 |
Tracheostomy care kit |
3,665 |
3,342 |
$112K |
| E0471 |
Rad w/backup non inv intrfc |
407 |
401 |
$103K |
| A7020 |
Interface, cough stim device |
3,700 |
3,206 |
$99K |
| A4554 |
Disposable underpads |
5,194 |
4,801 |
$95K |
| L8501 |
Tracheostomy speaking valve |
1,713 |
1,602 |
$92K |
| B4155 |
Ef incomplete/modular |
3,112 |
2,880 |
$92K |
| E0570 |
Nebulizer with compression |
2,508 |
2,305 |
$92K |
| B4036 |
Enteral feed sup kit grav by |
680 |
606 |
$90K |
| A4623 |
Tracheostomy inner cannula |
1,510 |
1,297 |
$86K |
| A7002 |
Tubing used w suction pump |
15,982 |
14,542 |
$82K |
| E0776 |
Iv pole |
1,070 |
993 |
$63K |
| T4522 |
Adult size brief/diaper med |
567 |
494 |
$58K |
| A4351 |
Straight tip urine catheter |
587 |
530 |
$58K |
| A4649 |
Surgical supplies |
557 |
465 |
$54K |
| B4154 |
Ef spec metabolic noninherit |
261 |
236 |
$53K |
| A6216 |
Non-sterile gauze<=16 sq in |
4,805 |
4,415 |
$46K |
| A4216 |
Sterile water/saline, 10 ml |
5,789 |
5,223 |
$44K |
| A6251 |
Absorpt drg <=16 sq in w/o b |
695 |
578 |
$42K |
| S8999 |
Resuscitation bag |
753 |
663 |
$40K |
| A7003 |
Nebulizer administration set |
11,944 |
10,768 |
$38K |
| T4523 |
Adult size brief/diaper lg |
326 |
266 |
$37K |
| E0601 |
Cont airway pressure device |
573 |
553 |
$32K |
| E0424 |
Stationary compressed gas 02 |
269 |
257 |
$30K |
| A6402 |
Sterile gauze <= 16 sq in |
3,296 |
2,944 |
$29K |
| B4034 |
Enter feed supkit syr by day |
277 |
227 |
$29K |
| B4082 |
Enteral ng tubing w/o stylet |
843 |
722 |
$26K |
| B4103 |
Ef ped fluid and electrolyte |
343 |
327 |
$23K |
| A4213 |
20+ cc syringe only |
3,945 |
3,560 |
$19K |
| A7034 |
Nasal application device |
248 |
236 |
$14K |
| A4402 |
Lubricant per ounce |
4,962 |
4,396 |
$14K |
| A4627 |
Spacer bag/reservoir |
1,078 |
1,016 |
$14K |
| A4320 |
Irrigation tray |
806 |
788 |
$13K |
| E1392 |
Portable oxygen concentrator |
599 |
572 |
$13K |
| E0562 |
Humidifier heated used w pap |
238 |
230 |
$11K |
| E0619 |
Apnea monitor w recorder |
77 |
72 |
$10K |
| A4245 |
Alcohol wipes per box |
3,638 |
3,135 |
$7K |
| A7007 |
Lg vol nebulizer disposable |
1,459 |
1,279 |
$6K |
| A7035 |
Pos airway press headgear |
279 |
270 |
$5K |
| A7018 |
Water distilled w/nebulizer |
810 |
759 |
$5K |
| A7015 |
Aerosol mask used w nebulize |
3,642 |
3,406 |
$4K |
| A7037 |
Pos airway pressure tubing |
202 |
197 |
$4K |
| B4081 |
Enteral ng tubing w/ stylet |
147 |
118 |
$4K |
| A7012 |
Nebulizer water collec devic |
1,031 |
907 |
$3K |
| A4450 |
Non-waterproof tape |
2,259 |
2,090 |
$3K |
| A7527 |
Trach/laryn tube plug/stop |
444 |
297 |
$2K |
| A7525 |
Tracheostomy mask |
958 |
834 |
$2K |
| A7005 |
Nondisposable nebulizer set |
103 |
85 |
$1K |
| A5120 |
Skin barrier, wipe or swab |
158 |
150 |
$943.08 |
| A7010 |
Disposable corrugated tubing |
64 |
62 |
$745.37 |
| A4520 |
Incontinence garment anytype |
86 |
74 |
$646.64 |
| A6453 |
Self-adher band w <3"/yd |
252 |
216 |
$551.22 |
| A7038 |
Pos airway pressure filter |
150 |
141 |
$414.24 |
| A7013 |
Disposable compressor filter |
479 |
444 |
$231.86 |
| A7045 |
Repl exhalation port for pap |
15 |
15 |
$164.56 |
| A4618 |
Breathing circuits |
27 |
25 |
$124.76 |
| A4452 |
Waterproof tape |
26 |
25 |
$116.81 |
| A4357 |
Bedside drainage bag |
15 |
12 |
$111.91 |
| A7039 |
Filter, non disposable w pap |
12 |
12 |
$99.22 |
| A4358 |
Urinary leg or abdomen bag |
12 |
12 |
$60.67 |
| A6257 |
Transparent film <= 16 sq in |
12 |
12 |
$0.00 |