| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
15,339 |
8,447 |
$2.04M |
| B4088 |
Gastro/jejuno tube, low-pro |
3,867 |
3,470 |
$643K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
6,050 |
3,379 |
$581K |
| E0445 |
Oximeter non-invasive |
1,985 |
1,840 |
$525K |
| B4036 |
Enteral feed sup kit grav by |
6,195 |
3,706 |
$521K |
| B4034 |
Enter feed supkit syr by day |
7,090 |
4,221 |
$520K |
| E1390 |
Oxygen concentrator |
4,187 |
3,755 |
$456K |
| B4149 |
Ef blenderized foods |
1,688 |
959 |
$291K |
| B9002 |
Enter nutr inf pump any type |
2,778 |
2,408 |
$231K |
| E0424 |
Stationary compressed gas 02 |
1,365 |
1,273 |
$214K |
| B4150 |
Ef complet w/intact nutrient |
2,583 |
1,648 |
$176K |
| E0601 |
Cont airway pressure device |
2,235 |
2,032 |
$162K |
| B4161 |
Ef ped hydrolyzed/amino acid |
521 |
347 |
$161K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,683 |
1,012 |
$140K |
| E0431 |
Portable gaseous 02 |
3,181 |
2,992 |
$88K |
| E0143 |
Walker folding wheeled w/o s |
1,141 |
1,070 |
$71K |
| A4606 |
Oxygen probe used w oximeter |
1,046 |
747 |
$60K |
| K0738 |
Portable gas oxygen system |
1,905 |
1,761 |
$49K |
| E0619 |
Apnea monitor w recorder |
170 |
164 |
$43K |
| A4627 |
Spacer bag/reservoir |
1,544 |
1,485 |
$39K |
| A4222 |
Infusion supplies with pump |
471 |
158 |
$35K |
| E0114 |
Crutch underarm pair no wood |
1,091 |
1,017 |
$35K |
| A7030 |
Cpap full face mask |
268 |
251 |
$31K |
| E0562 |
Humidifier heated used w pap |
138 |
129 |
$31K |
| B9998 |
Enteral supp not otherwise c |
1,229 |
902 |
$30K |
| B4154 |
Ef spec metabolic noninherit |
169 |
101 |
$28K |
| T4530 |
Ped size brief/diaper lg |
126 |
113 |
$21K |
| A7035 |
Pos airway press headgear |
623 |
577 |
$16K |
| B4082 |
Enteral ng tubing w/o stylet |
1,009 |
874 |
$16K |
| E0600 |
Suction pump portab hom modl |
594 |
553 |
$15K |
| A4221 |
Supp non-insulin inf cath/wk |
673 |
359 |
$14K |
| A7034 |
Nasal application device |
178 |
172 |
$11K |
| E0776 |
Iv pole |
84 |
76 |
$7K |
| A7038 |
Pos airway pressure filter |
1,087 |
1,007 |
$7K |
| A7526 |
Tracheostomy tube collar |
160 |
141 |
$7K |
| A4624 |
Tracheal suction tube |
98 |
81 |
$5K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
328 |
298 |
$4K |
| A7000 |
Disposable canister for pump |
523 |
468 |
$4K |
| E1226 |
Manual fully reclining back |
58 |
56 |
$3K |
| E0990 |
Wheelchair elevating leg res |
328 |
286 |
$3K |
| A4628 |
Oropharyngeal suction cath |
113 |
102 |
$2K |
| A7002 |
Tubing used w suction pump |
521 |
465 |
$2K |
| A4604 |
Tubing with heating element |
556 |
517 |
$2K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
33 |
26 |
$2K |
| E0570 |
Nebulizer with compression |
13 |
12 |
$1K |
| A9999 |
Dme supply or accessory, nos |
1,321 |
1,215 |
$1K |
| E0955 |
Cushioned headrest |
57 |
54 |
$984.68 |
| A7031 |
Replacement facemask interfa |
32 |
26 |
$925.37 |
| A4565 |
Slings |
145 |
138 |
$813.19 |
| A4629 |
Tracheostomy care kit |
15 |
12 |
$616.33 |
| K0001 |
Standard wheelchair |
13 |
13 |
$580.85 |
| A7046 |
Repl water chamber, pap dev |
40 |
38 |
$556.82 |
| E0971 |
Wheelchair anti-tipping devi |
115 |
66 |
$414.43 |
| A4556 |
Electrodes, pair |
13 |
12 |
$292.03 |
| A7037 |
Pos airway pressure tubing |
67 |
58 |
$230.02 |
| E1399 |
Durable medical equipment mi |
18 |
12 |
$37.47 |