| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
3,033 |
2,207 |
$2.10M |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
2,262 |
2,249 |
$567K |
| T4541 |
Incontinence product, disposable underpad, large, each |
9,066 |
9,055 |
$500K |
| A7526 |
Tracheostomy tube collar/holder, each |
2,828 |
2,820 |
$336K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,722 |
2,721 |
$273K |
| A4623 |
Tracheostomy, inner cannula |
1,473 |
1,470 |
$223K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
1,691 |
1,683 |
$210K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,577 |
1,577 |
$129K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,339 |
1,337 |
$109K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
2,117 |
2,092 |
$104K |
| A7000 |
Canister, disposable, used with suction pump, each |
3,912 |
3,848 |
$61K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
2,542 |
2,477 |
$59K |
| A7002 |
Tubing, used with suction pump, each |
3,679 |
3,618 |
$43K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
640 |
640 |
$41K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
2,227 |
545 |
$36K |
| A4927 |
Gloves, non-sterile, per 100 |
1,958 |
1,957 |
$28K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,945 |
1,943 |
$25K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
304 |
304 |
$24K |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
381 |
362 |
$23K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
334 |
304 |
$22K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
215 |
208 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
565 |
398 |
$12K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,293 |
1,260 |
$4K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
115 |
114 |
$3K |
| A4322 |
Irrigation syringe, bulb or piston, each |
50 |
50 |
$3K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
25 |
25 |
$2K |
| B9998 |
Noc for enteral supplies |
12 |
12 |
$610.08 |
| A4402 |
Lubricant, per ounce |
111 |
102 |
$439.43 |
| A4657 |
Syringe, with or without needle, each |
93 |
51 |
$329.13 |
| A7525 |
Tracheostomy mask, each |
69 |
69 |
$277.70 |