| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
14,185 |
13,752 |
$3.69M |
| B4149 |
Ef blenderized foods |
6,645 |
5,972 |
$2.70M |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,550 |
4,095 |
$2.63M |
| E0465 |
Home vent invasive interface |
2,113 |
2,108 |
$2.16M |
| E1390 |
Oxygen concentrator |
15,497 |
15,496 |
$1.74M |
| E0445 |
Oximeter non-invasive |
7,849 |
7,849 |
$1.32M |
| B4088 |
Gastro/jejuno tube, low-pro |
6,425 |
6,214 |
$994K |
| A4624 |
Tracheal suction tube |
3,431 |
3,319 |
$702K |
| A4606 |
Oxygen probe used w oximeter |
10,037 |
7,843 |
$650K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,886 |
2,651 |
$582K |
| E0443 |
Portable 02 contents, gas |
8,104 |
8,103 |
$384K |
| E0431 |
Portable gaseous 02 |
14,529 |
14,527 |
$306K |
| E0466 |
Home vent non-invasive inter |
227 |
227 |
$286K |
| B9002 |
Enter nutr inf pump any type |
284 |
282 |
$281K |
| A4628 |
Oropharyngeal suction cath |
8,770 |
8,551 |
$259K |
| A4629 |
Tracheostomy care kit |
2,455 |
2,400 |
$250K |
| A7526 |
Tracheostomy tube collar |
3,786 |
3,710 |
$248K |
| A6257 |
Transparent film <= 16 sq in |
4,317 |
4,218 |
$220K |
| B4034 |
Enter feed supkit syr by day |
1,355 |
1,318 |
$180K |
| B4158 |
Ef ped complete intact nut |
726 |
661 |
$173K |
| A7000 |
Disposable canister for pump |
10,070 |
9,867 |
$159K |
| E0600 |
Suction pump portab hom modl |
2,782 |
2,760 |
$158K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
784 |
769 |
$157K |
| A7507 |
Integrated filter & holder |
2,174 |
2,095 |
$146K |
| A4605 |
Trach suction cath close sys |
1,603 |
1,582 |
$100K |
| E0776 |
Iv pole |
4,901 |
4,872 |
$84K |
| A6402 |
Sterile gauze <= 16 sq in |
4,897 |
4,769 |
$80K |
| A7002 |
Tubing used w suction pump |
9,753 |
9,648 |
$63K |
| A6212 |
Foam drg <=16 sq in w/border |
236 |
233 |
$56K |
| B4153 |
Ef hydrolyzed/amino acids |
54 |
52 |
$36K |
| A4322 |
Irrigation syringe |
1,831 |
1,789 |
$33K |
| E0482 |
Cough stimulating device |
115 |
114 |
$29K |
| A7012 |
Nebulizer water collec devic |
2,481 |
2,425 |
$28K |
| A7010 |
Disposable corrugated tubing |
1,545 |
1,544 |
$26K |
| A7038 |
Pos airway pressure filter |
4,177 |
4,141 |
$25K |
| A7003 |
Nebulizer administration set |
6,885 |
6,828 |
$25K |
| E0630 |
Patient lift hydraulic |
375 |
372 |
$24K |
| E0570 |
Nebulizer with compression |
987 |
973 |
$23K |
| E0565 |
Compressor air power source |
513 |
513 |
$22K |
| A4456 |
Adhesive remover, wipes |
1,173 |
1,146 |
$21K |
| B4036 |
Enteral feed sup kit grav by |
133 |
131 |
$20K |
| A4332 |
Lube sterile packet |
3,020 |
2,936 |
$20K |
| E0260 |
Hosp bed semi-electr w/ matt |
231 |
231 |
$19K |
| B4155 |
Ef incomplete/modular |
594 |
578 |
$19K |
| A7525 |
Tracheostomy mask |
2,209 |
2,151 |
$16K |
| A6453 |
Self-adher band w <3"/yd |
6,300 |
6,210 |
$15K |
| B4152 |
Ef calorie dense>/=1.5kcal |
58 |
51 |
$12K |
| E0601 |
Cont airway pressure device |
184 |
184 |
$11K |
| A4351 |
Straight tip urine catheter |
64 |
63 |
$11K |
| A4450 |
Non-waterproof tape |
4,002 |
3,951 |
$10K |
| B4150 |
Ef complet w/intact nutrient |
63 |
60 |
$10K |
| A7007 |
Lg vol nebulizer disposable |
1,090 |
1,061 |
$9K |
| B4082 |
Enteral ng tubing w/o stylet |
153 |
137 |
$8K |
| A7046 |
Repl water chamber, pap dev |
362 |
358 |
$5K |
| A7015 |
Aerosol mask used w nebulize |
3,799 |
3,796 |
$5K |
| E0562 |
Humidifier heated used w pap |
329 |
329 |
$5K |
| A4452 |
Waterproof tape |
604 |
595 |
$5K |
| A4213 |
20+ cc syringe only |
307 |
300 |
$3K |
| A6260 |
Wound cleanser any type/size |
1,180 |
1,163 |
$3K |
| A7509 |
Heat & moisture exchange sys |
61 |
60 |
$3K |
| A4245 |
Alcohol wipes per box |
877 |
872 |
$2K |
| A7005 |
Nondisposable nebulizer set |
103 |
103 |
$2K |
| A9999 |
Dme supply or accessory, nos |
76 |
76 |
$2K |
| A4338 |
Indwelling catheter latex |
195 |
193 |
$2K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
12 |
12 |
$1K |
| A7013 |
Disposable compressor filter |
182 |
181 |
$538.73 |
| E0550 |
Humidif extens supple w ippb |
12 |
12 |
$531.92 |
| A7520 |
Trach/laryn tube non-cuffed |
12 |
12 |
$330.97 |
| A4221 |
Supp non-insulin inf cath/wk |
14 |
14 |
$233.10 |
| A7039 |
Filter, non disposable w pap |
29 |
29 |
$206.56 |
| A4615 |
Cannula nasal |
55 |
55 |
$37.98 |