| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
10,188 |
6,550 |
$6.90M |
| B4035 |
Enteral feed supp pump per d |
14,337 |
10,404 |
$2.36M |
| B4161 |
Ef ped hydrolyzed/amino acid |
5,349 |
3,599 |
$1.92M |
| E0466 |
Home vent non-invasive inter |
2,006 |
1,358 |
$1.04M |
| E1390 |
Oxygen concentrator |
12,798 |
10,905 |
$746K |
| A7521 |
Trach/laryn tube cuffed |
4,889 |
2,098 |
$729K |
| B9998 |
Enteral supp not otherwise c |
27,185 |
5,849 |
$727K |
| E0445 |
Oximeter non-invasive |
5,898 |
4,003 |
$712K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,882 |
2,917 |
$658K |
| B4149 |
Ef blenderized foods |
3,047 |
2,043 |
$586K |
| A4483 |
Moisture exchanger |
2,725 |
2,150 |
$549K |
| A4624 |
Tracheal suction tube |
5,871 |
4,905 |
$541K |
| Y2032 |
|
1,657 |
1,434 |
$485K |
| B9002 |
Enter nutr inf pump any type |
4,202 |
3,586 |
$456K |
| A4217 |
Sterile water/saline, 500 ml |
4,896 |
4,043 |
$433K |
| A4606 |
Oxygen probe used w oximeter |
26,131 |
6,969 |
$414K |
| A7507 |
Integrated filter & holder |
4,203 |
2,275 |
$413K |
| A7526 |
Tracheostomy tube collar |
7,374 |
5,962 |
$359K |
| E1399 |
Durable medical equipment mi |
3,457 |
2,332 |
$351K |
| A9999 |
Dme supply or accessory, nos |
10,062 |
6,990 |
$328K |
| A7520 |
Trach/laryn tube non-cuffed |
5,100 |
3,045 |
$328K |
| B4150 |
Ef complet w/intact nutrient |
1,820 |
1,535 |
$298K |
| S8189 |
Trach supply noc |
1,978 |
1,024 |
$293K |
| B4034 |
Enter feed supkit syr by day |
2,476 |
2,060 |
$265K |
| A4605 |
Trach suction cath close sys |
1,213 |
928 |
$256K |
| B4088 |
Gastro/jejuno tube, low-pro |
3,481 |
2,924 |
$222K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
1,334 |
1,168 |
$217K |
| B4153 |
Ef hydrolyzed/amino acids |
518 |
352 |
$193K |
| E0431 |
Portable gaseous 02 |
10,790 |
9,225 |
$184K |
| T4522 |
Adult size brief/diaper med |
1,699 |
1,506 |
$169K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,331 |
1,166 |
$112K |
| B4155 |
Ef incomplete/modular |
2,219 |
1,681 |
$111K |
| A7000 |
Disposable canister for pump |
7,484 |
6,144 |
$96K |
| T4541 |
Large disposable underpad |
2,985 |
2,703 |
$88K |
| A4629 |
Tracheostomy care kit |
1,111 |
874 |
$84K |
| A6402 |
Sterile gauze <= 16 sq in |
7,031 |
5,873 |
$80K |
| E0424 |
Stationary compressed gas 02 |
1,162 |
1,024 |
$79K |
| T4521 |
Adult size brief/diaper sm |
727 |
653 |
$69K |
| A4927 |
Non-sterile gloves |
4,676 |
4,100 |
$58K |
| A7002 |
Tubing used w suction pump |
7,676 |
6,431 |
$56K |
| E0600 |
Suction pump portab hom modl |
712 |
498 |
$54K |
| A4322 |
Irrigation syringe |
3,042 |
2,369 |
$46K |
| B4152 |
Ef calorie dense>/=1.5kcal |
299 |
241 |
$46K |
| A4628 |
Oropharyngeal suction cath |
5,438 |
4,440 |
$39K |
| K0738 |
Portable gas oxygen system |
1,290 |
1,097 |
$34K |
| A4216 |
Sterile water/saline, 10 ml |
2,405 |
2,173 |
$28K |
| A6216 |
Non-sterile gauze<=16 sq in |
1,988 |
1,783 |
$24K |
| E0776 |
Iv pole |
378 |
288 |
$23K |
| T4523 |
Adult size brief/diaper lg |
205 |
196 |
$23K |
| A5200 |
Percutaneous catheter anchor |
479 |
383 |
$23K |
| E0443 |
Portable 02 contents, gas |
697 |
642 |
$21K |
| A7003 |
Nebulizer administration set |
5,960 |
4,312 |
$14K |
| B4158 |
Ef ped complete intact nut |
141 |
99 |
$14K |
| A4450 |
Non-waterproof tape |
5,240 |
4,474 |
$13K |
| A4930 |
Sterile, gloves per pair |
208 |
201 |
$10K |
| B4036 |
Enteral feed sup kit grav by |
59 |
49 |
$9K |
| E0482 |
Cough stimulating device |
30 |
25 |
$8K |
| A4452 |
Waterproof tape |
701 |
583 |
$7K |
| A7007 |
Lg vol nebulizer disposable |
1,797 |
1,321 |
$7K |
| A7509 |
Heat & moisture exchange sys |
43 |
41 |
$4K |
| E0565 |
Compressor air power source |
100 |
96 |
$4K |
| A4209 |
5+ cc sterile syringe&needle |
579 |
530 |
$4K |
| A6214 |
Foam drg > 48 sq in w/border |
40 |
30 |
$4K |
| A4402 |
Lubricant per ounce |
1,122 |
1,060 |
$3K |
| A7525 |
Tracheostomy mask |
2,910 |
1,745 |
$3K |
| A4351 |
Straight tip urine catheter |
43 |
38 |
$3K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
67 |
54 |
$3K |
| E0562 |
Humidifier heated used w pap |
257 |
196 |
$2K |
| A7012 |
Nebulizer water collec devic |
994 |
747 |
$2K |
| T4535 |
Disposable liner/shield/pad |
51 |
49 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
822 |
493 |
$1K |
| E0570 |
Nebulizer with compression |
20 |
15 |
$785.52 |
| A4358 |
Urinary leg or abdomen bag |
107 |
72 |
$693.24 |
| A7037 |
Pos airway pressure tubing |
70 |
51 |
$616.45 |
| A7001 |
Nondisposable pump canister |
14 |
13 |
$334.17 |
| B4081 |
Enteral ng tubing w/ stylet |
20 |
14 |
$319.67 |
| A7046 |
Repl water chamber, pap dev |
39 |
24 |
$260.48 |
| A4332 |
Lube sterile packet |
36 |
24 |
$230.43 |
| A9286 |
Any hygienic item, device |
92 |
38 |
$58.23 |
| A7038 |
Pos airway pressure filter |
28 |
19 |
$32.29 |