| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
3,033 |
2,207 |
$2.10M |
| A4624 |
Tracheal suction tube |
2,262 |
2,249 |
$567K |
| T4541 |
Large disposable underpad |
9,066 |
9,055 |
$500K |
| A7526 |
Tracheostomy tube collar |
2,828 |
2,820 |
$336K |
| T4523 |
Adult size brief/diaper lg |
2,722 |
2,721 |
$273K |
| A4623 |
Tracheostomy inner cannula |
1,473 |
1,470 |
$223K |
| A7520 |
Trach/laryn tube non-cuffed |
1,691 |
1,683 |
$210K |
| T4527 |
Adult size pull-on lg |
1,577 |
1,577 |
$129K |
| T4524 |
Adult size brief/diaper xl |
1,339 |
1,337 |
$109K |
| A4629 |
Tracheostomy care kit |
2,117 |
2,092 |
$104K |
| A7000 |
Disposable canister for pump |
3,912 |
3,848 |
$61K |
| A6402 |
Sterile gauze <= 16 sq in |
2,542 |
2,477 |
$59K |
| A7002 |
Tubing used w suction pump |
3,679 |
3,618 |
$43K |
| T4526 |
Adult size pull-on med |
640 |
640 |
$41K |
| A4606 |
Oxygen probe used w oximeter |
2,227 |
545 |
$36K |
| A4927 |
Non-sterile gloves |
1,958 |
1,957 |
$28K |
| A4628 |
Oropharyngeal suction cath |
1,945 |
1,943 |
$25K |
| T4528 |
Adult size pull-on xl |
304 |
304 |
$24K |
| A7509 |
Heat & moisture exchange sys |
381 |
362 |
$23K |
| T4535 |
Disposable liner/shield/pad |
334 |
304 |
$22K |
| T4522 |
Adult size brief/diaper med |
215 |
208 |
$20K |
| E0431 |
Portable gaseous 02 |
565 |
398 |
$12K |
| A7003 |
Nebulizer administration set |
1,293 |
1,260 |
$4K |
| A4357 |
Bedside drainage bag |
115 |
114 |
$3K |
| A4322 |
Irrigation syringe |
50 |
50 |
$3K |
| A7521 |
Trach/laryn tube cuffed |
25 |
25 |
$2K |
| B9998 |
Enteral supp not otherwise c |
12 |
12 |
$610.08 |
| A4402 |
Lubricant per ounce |
111 |
102 |
$439.43 |
| A4657 |
Syringe w/wo needle |
93 |
51 |
$329.13 |
| A7525 |
Tracheostomy mask |
69 |
69 |
$277.70 |