| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1000 |
Private duty/independent nsg |
36,049 |
2,125 |
$14.86M |
| E0465 |
Home vent invasive interface |
725 |
716 |
$586K |
| B4035 |
Enteral feed supp pump per d |
1,347 |
1,245 |
$274K |
| S8189 |
Trach supply noc |
679 |
671 |
$224K |
| E1399 |
Durable medical equipment mi |
477 |
471 |
$215K |
| A4624 |
Tracheal suction tube |
815 |
799 |
$157K |
| E1390 |
Oxygen concentrator |
961 |
956 |
$134K |
| E0445 |
Oximeter non-invasive |
340 |
327 |
$101K |
| A7520 |
Trach/laryn tube non-cuffed |
857 |
840 |
$84K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
434 |
412 |
$66K |
| A7526 |
Tracheostomy tube collar |
999 |
975 |
$65K |
| B4087 |
Gastro/jejuno tube, std |
1,270 |
960 |
$62K |
| B4088 |
Gastro/jejuno tube, low-pro |
495 |
488 |
$54K |
| A4629 |
Tracheostomy care kit |
478 |
471 |
$39K |
| B9002 |
Enter nutr inf pump any type |
585 |
577 |
$36K |
| E0431 |
Portable gaseous 02 |
1,251 |
1,236 |
$34K |
| E0424 |
Stationary compressed gas 02 |
135 |
135 |
$22K |
| A4927 |
Non-sterile gloves |
793 |
762 |
$18K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
64 |
64 |
$12K |
| A4628 |
Oropharyngeal suction cath |
736 |
723 |
$10K |
| E0600 |
Suction pump portab hom modl |
314 |
276 |
$9K |
| A7002 |
Tubing used w suction pump |
965 |
957 |
$9K |
| E0776 |
Iv pole |
896 |
896 |
$8K |
| A7000 |
Disposable canister for pump |
973 |
972 |
$7K |
| A6402 |
Sterile gauze <= 16 sq in |
202 |
196 |
$4K |
| E0570 |
Nebulizer with compression |
290 |
288 |
$4K |
| A4606 |
Oxygen probe used w oximeter |
46 |
37 |
$3K |
| A7018 |
Water distilled w/nebulizer |
791 |
787 |
$2K |
| A4244 |
Alcohol or peroxide per pint |
508 |
503 |
$2K |
| A4402 |
Lubricant per ounce |
571 |
565 |
$1K |
| A7012 |
Nebulizer water collec devic |
241 |
239 |
$1K |
| A7003 |
Nebulizer administration set |
619 |
609 |
$1K |
| A7525 |
Tracheostomy mask |
310 |
278 |
$1K |
| L8501 |
Tracheostomy speaking valve |
14 |
13 |
$1K |
| A7046 |
Repl water chamber, pap dev |
56 |
55 |
$281.88 |
| A4245 |
Alcohol wipes per box |
121 |
119 |
$219.96 |
| A7007 |
Lg vol nebulizer disposable |
18 |
16 |
$166.53 |
| A7505 |
Hmes or trach valve housing |
13 |
12 |
$96.90 |
| A7015 |
Aerosol mask used w nebulize |
31 |
25 |
$34.35 |