| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
15,899 |
11,220 |
$15.88M |
| B4035 |
Enteral feed supp pump per d |
37,914 |
31,309 |
$9.80M |
| E0445 |
Oximeter non-invasive |
52,265 |
45,423 |
$8.05M |
| B4161 |
Ef ped hydrolyzed/amino acid |
19,437 |
14,848 |
$7.74M |
| E1390 |
Oxygen concentrator |
47,528 |
40,643 |
$6.52M |
| E0466 |
Home vent non-invasive inter |
5,962 |
4,981 |
$4.81M |
| B4149 |
Ef blenderized foods |
10,379 |
7,985 |
$3.52M |
| A4483 |
Moisture exchanger |
9,860 |
8,003 |
$2.87M |
| E1399 |
Durable medical equipment mi |
22,764 |
9,670 |
$2.45M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
17,284 |
14,137 |
$2.17M |
| A4624 |
Tracheal suction tube |
9,745 |
8,323 |
$1.81M |
| A4217 |
Sterile water/saline, 500 ml |
15,027 |
12,004 |
$1.66M |
| B9002 |
Enter nutr inf pump any type |
4,255 |
3,611 |
$1.65M |
| A4629 |
Tracheostomy care kit |
8,888 |
7,009 |
$1.53M |
| B4088 |
Gastro/jejuno tube, low-pro |
12,877 |
10,846 |
$1.28M |
| E0431 |
Portable gaseous 02 |
48,251 |
41,699 |
$1.11M |
| E0424 |
Stationary compressed gas 02 |
7,035 |
6,086 |
$1.09M |
| A7520 |
Trach/laryn tube non-cuffed |
8,001 |
6,074 |
$1.02M |
| A7526 |
Tracheostomy tube collar |
16,529 |
14,112 |
$895K |
| A7521 |
Trach/laryn tube cuffed |
2,363 |
1,856 |
$637K |
| B4158 |
Ef ped complete intact nut |
5,092 |
4,089 |
$620K |
| B4155 |
Ef incomplete/modular |
6,198 |
5,121 |
$599K |
| A9999 |
Dme supply or accessory, nos |
3,080 |
2,394 |
$497K |
| A7000 |
Disposable canister for pump |
18,418 |
16,096 |
$489K |
| A7507 |
Integrated filter & holder |
4,436 |
3,452 |
$467K |
| L8501 |
Tracheostomy speaking valve |
3,475 |
2,910 |
$419K |
| E0482 |
Cough stimulating device |
1,622 |
1,287 |
$390K |
| E0619 |
Apnea monitor w recorder |
1,982 |
1,631 |
$388K |
| B4154 |
Ef spec metabolic noninherit |
1,156 |
900 |
$364K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,776 |
1,386 |
$294K |
| B4150 |
Ef complet w/intact nutrient |
2,009 |
1,622 |
$284K |
| B4103 |
Ef ped fluid and electrolyte |
2,941 |
2,384 |
$277K |
| E0600 |
Suction pump portab hom modl |
2,007 |
1,615 |
$259K |
| A4623 |
Tracheostomy inner cannula |
1,410 |
1,021 |
$245K |
| A4628 |
Oropharyngeal suction cath |
14,255 |
12,336 |
$152K |
| E0601 |
Cont airway pressure device |
1,962 |
1,700 |
$144K |
| E0776 |
Iv pole |
1,561 |
1,316 |
$133K |
| A4554 |
Disposable underpads |
3,262 |
2,652 |
$132K |
| B9998 |
Enteral supp not otherwise c |
7,740 |
5,915 |
$111K |
| A7002 |
Tubing used w suction pump |
17,245 |
15,074 |
$108K |
| E0570 |
Nebulizer with compression |
1,355 |
1,026 |
$102K |
| T4529 |
Ped size brief/diaper sm/med |
1,528 |
1,241 |
$100K |
| A4605 |
Trach suction cath close sys |
2,429 |
1,908 |
$84K |
| B4100 |
Food thickener oral |
1,355 |
1,148 |
$82K |
| A4927 |
Non-sterile gloves |
6,306 |
5,317 |
$78K |
| T4530 |
Ped size brief/diaper lg |
804 |
589 |
$49K |
| T4521 |
Adult size brief/diaper sm |
515 |
413 |
$46K |
| A7007 |
Lg vol nebulizer disposable |
5,126 |
4,528 |
$46K |
| E0470 |
Rad w/o backup non-inv intfc |
226 |
215 |
$41K |
| A7012 |
Nebulizer water collec devic |
4,904 |
4,323 |
$38K |
| A7010 |
Disposable corrugated tubing |
2,447 |
2,170 |
$38K |
| E0565 |
Compressor air power source |
362 |
306 |
$37K |
| A7525 |
Tracheostomy mask |
7,101 |
5,949 |
$33K |
| A7003 |
Nebulizer administration set |
13,649 |
11,737 |
$33K |
| K0738 |
Portable gas oxygen system |
640 |
535 |
$19K |
| A4402 |
Lubricant per ounce |
4,462 |
3,732 |
$18K |
| A7030 |
Cpap full face mask |
100 |
95 |
$15K |
| E0562 |
Humidifier heated used w pap |
63 |
59 |
$14K |
| A4244 |
Alcohol or peroxide per pint |
9,702 |
7,820 |
$11K |
| A7034 |
Nasal application device |
119 |
102 |
$9K |
| A4245 |
Alcohol wipes per box |
4,023 |
3,312 |
$9K |
| B4034 |
Enter feed supkit syr by day |
93 |
66 |
$8K |
| A7015 |
Aerosol mask used w nebulize |
2,876 |
2,494 |
$6K |
| A7037 |
Pos airway pressure tubing |
167 |
162 |
$6K |
| A7035 |
Pos airway press headgear |
198 |
185 |
$6K |
| A7031 |
Replacement facemask interfa |
117 |
80 |
$5K |
| T4522 |
Adult size brief/diaper med |
27 |
24 |
$3K |
| B4081 |
Enteral ng tubing w/ stylet |
119 |
105 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
335 |
215 |
$2K |
| A7038 |
Pos airway pressure filter |
274 |
248 |
$1K |
| B4104 |
Additive for enteral formula |
109 |
89 |
$1K |
| T4533 |
Youth size brief/diaper |
21 |
13 |
$1K |
| A9900 |
Supply/accessory/service |
614 |
507 |
$1K |
| A7032 |
Replacement nasal cushion |
34 |
26 |
$818.79 |
| A7005 |
Nondisposable nebulizer set |
29 |
25 |
$734.04 |
| A7033 |
Replacement nasal pillows |
13 |
12 |
$507.49 |
| B4082 |
Enteral ng tubing w/o stylet |
27 |
25 |
$382.95 |
| A4606 |
Oxygen probe used w oximeter |
699 |
529 |
$280.00 |
| A6257 |
Transparent film <= 16 sq in |
26 |
24 |
$177.84 |
| A4213 |
20+ cc syringe only |
134 |
90 |
$144.11 |
| A4216 |
Sterile water/saline, 10 ml |
340 |
229 |
$131.40 |
| A4604 |
Tubing with heating element |
19 |
12 |
$71.37 |