| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
11,347 |
8,758 |
$8.94M |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,481 |
3,801 |
$2.54M |
| S9343 |
Hit enteral bolus nurs |
2,097 |
1,628 |
$1.61M |
| E1390 |
Oxygen concentrator |
9,762 |
9,537 |
$844K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,379 |
2,036 |
$433K |
| E0601 |
Cont airway pressure device |
2,537 |
2,489 |
$372K |
| A7030 |
Cpap full face mask |
1,999 |
1,997 |
$166K |
| S9500 |
Hit antibiotic q24h diem |
361 |
138 |
$163K |
| 99601 |
|
1,102 |
562 |
$131K |
| B4149 |
Ef blenderized foods |
485 |
273 |
$97K |
| E0570 |
Nebulizer with compression |
1,420 |
1,419 |
$66K |
| B4152 |
Ef calorie dense>/=1.5kcal |
374 |
313 |
$62K |
| E0562 |
Humidifier heated used w pap |
864 |
844 |
$58K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,455 |
1,452 |
$51K |
| A7031 |
Replacement facemask interfa |
1,703 |
1,697 |
$49K |
| A7035 |
Pos airway press headgear |
3,257 |
3,255 |
$39K |
| B4155 |
Ef incomplete/modular |
1,238 |
938 |
$37K |
| E0431 |
Portable gaseous 02 |
2,534 |
2,485 |
$32K |
| S9338 |
Hit immunotherapy diem |
301 |
176 |
$30K |
| G0238 |
Oth resp proc, indiv |
286 |
286 |
$23K |
| A7037 |
Pos airway pressure tubing |
2,602 |
2,593 |
$23K |
| B4158 |
Ef ped complete intact nut |
64 |
53 |
$19K |
| B4150 |
Ef complet w/intact nutrient |
117 |
101 |
$18K |
| A7034 |
Nasal application device |
584 |
584 |
$16K |
| 99602 |
Nursing care in home rn |
127 |
91 |
$16K |
| A7038 |
Pos airway pressure filter |
5,071 |
5,048 |
$11K |
| A7032 |
Replacement nasal cushion |
419 |
417 |
$9K |
| A7046 |
Repl water chamber, pap dev |
1,119 |
1,118 |
$3K |
| S5502 |
Hit interim cath care |
38 |
12 |
$1K |
| A4604 |
Tubing with heating element |
568 |
567 |
$1K |
| A7003 |
Nebulizer administration set |
318 |
312 |
$703.44 |
| A7039 |
Filter, non disposable w pap |
256 |
256 |
$413.11 |
| A7000 |
Disposable canister for pump |
34 |
32 |
$275.44 |
| A4628 |
Oropharyngeal suction cath |
30 |
27 |
$123.32 |
| A7002 |
Tubing used w suction pump |
41 |
37 |
$111.97 |