| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
5,409 |
4,196 |
$2.37M |
| E0466 |
Home vent non-invasive inter |
1,866 |
1,687 |
$1.08M |
| B4035 |
Enteral feed supp pump per d |
4,038 |
3,615 |
$965K |
| A4624 |
Tracheal suction tube |
5,001 |
4,358 |
$645K |
| E1390 |
Oxygen concentrator |
4,336 |
3,420 |
$556K |
| A9900 |
Supply/accessory/service |
1,682 |
1,454 |
$486K |
| A7507 |
Integrated filter & holder |
3,539 |
3,141 |
$408K |
| A4605 |
Trach suction cath close sys |
2,582 |
2,356 |
$401K |
| A4629 |
Tracheostomy care kit |
4,781 |
4,078 |
$389K |
| A7526 |
Tracheostomy tube collar |
5,992 |
5,310 |
$319K |
| A4623 |
Tracheostomy inner cannula |
2,519 |
2,001 |
$282K |
| E0482 |
Cough stimulating device |
652 |
584 |
$200K |
| B4161 |
Ef ped hydrolyzed/amino acid |
248 |
218 |
$191K |
| A7520 |
Trach/laryn tube non-cuffed |
2,534 |
2,148 |
$173K |
| T4541 |
Large disposable underpad |
2,489 |
2,274 |
$155K |
| B4152 |
Ef calorie dense>/=1.5kcal |
724 |
626 |
$134K |
| A4216 |
Sterile water/saline, 10 ml |
3,982 |
3,539 |
$123K |
| A7521 |
Trach/laryn tube cuffed |
2,163 |
1,815 |
$117K |
| A4927 |
Non-sterile gloves |
5,910 |
5,209 |
$88K |
| E0431 |
Portable gaseous 02 |
3,880 |
3,042 |
$87K |
| B4088 |
Gastro/jejuno tube, low-pro |
711 |
637 |
$80K |
| A6402 |
Sterile gauze <= 16 sq in |
5,784 |
4,851 |
$76K |
| T4522 |
Adult size brief/diaper med |
718 |
694 |
$71K |
| E0600 |
Suction pump portab hom modl |
2,933 |
2,450 |
$65K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
244 |
212 |
$57K |
| B9002 |
Enter nutr inf pump any type |
914 |
797 |
$51K |
| A7000 |
Disposable canister for pump |
5,828 |
5,221 |
$45K |
| E0565 |
Compressor air power source |
1,500 |
1,307 |
$40K |
| E0445 |
Oximeter non-invasive |
477 |
369 |
$27K |
| A4649 |
Surgical supplies |
811 |
745 |
$20K |
| A4213 |
20+ cc syringe only |
3,817 |
3,283 |
$20K |
| B4150 |
Ef complet w/intact nutrient |
86 |
61 |
$19K |
| A4452 |
Waterproof tape |
2,510 |
2,214 |
$16K |
| B4149 |
Ef blenderized foods |
53 |
51 |
$14K |
| A7003 |
Nebulizer administration set |
5,046 |
4,251 |
$14K |
| A4628 |
Oropharyngeal suction cath |
6,122 |
5,236 |
$10K |
| A7002 |
Tubing used w suction pump |
2,858 |
2,582 |
$9K |
| A4657 |
Syringe w/wo needle |
4,945 |
4,106 |
$8K |
| A7012 |
Nebulizer water collec devic |
2,674 |
2,227 |
$7K |
| E0776 |
Iv pole |
853 |
722 |
$5K |
| A7007 |
Lg vol nebulizer disposable |
2,031 |
1,733 |
$5K |
| A7525 |
Tracheostomy mask |
2,838 |
2,491 |
$4K |
| A4332 |
Lube sterile packet |
3,204 |
2,712 |
$3K |
| A7010 |
Disposable corrugated tubing |
110 |
94 |
$2K |
| E0570 |
Nebulizer with compression |
59 |
59 |
$1K |
| B4155 |
Ef incomplete/modular |
51 |
49 |
$912.45 |
| L8501 |
Tracheostomy speaking valve |
12 |
12 |
$687.12 |
| A7015 |
Aerosol mask used w nebulize |
391 |
322 |
$486.41 |