| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
6,931 |
5,769 |
$8.39M |
| A7520 |
Trach/laryn tube non-cuffed |
5,794 |
5,743 |
$1.65M |
| A4606 |
Oxygen probe used w oximeter |
42,287 |
8,092 |
$1.64M |
| A4605 |
Trach suction cath close sys |
3,544 |
3,534 |
$1.57M |
| E0481 |
Intrpulmnry percuss vent sys |
1,298 |
1,286 |
$1.34M |
| E1399 |
Durable medical equipment mi |
6,293 |
5,921 |
$1.32M |
| A7509 |
Heat & moisture exchange sys |
5,906 |
5,846 |
$1.26M |
| E1390 |
Oxygen concentrator |
7,936 |
7,006 |
$976K |
| A4624 |
Tracheal suction tube |
5,152 |
5,124 |
$916K |
| A7526 |
Tracheostomy tube collar |
6,424 |
6,392 |
$858K |
| E0443 |
Portable 02 contents, gas |
7,767 |
6,527 |
$440K |
| E0466 |
Home vent non-invasive inter |
411 |
359 |
$294K |
| B4035 |
Enteral feed supp pump per d |
2,006 |
1,991 |
$277K |
| A7000 |
Disposable canister for pump |
7,090 |
7,066 |
$260K |
| A4629 |
Tracheostomy care kit |
5,092 |
5,080 |
$244K |
| A4322 |
Irrigation syringe |
1,783 |
1,781 |
$183K |
| L8501 |
Tracheostomy speaking valve |
1,692 |
1,682 |
$178K |
| B9998 |
Enteral supp not otherwise c |
2,226 |
2,199 |
$169K |
| E0431 |
Portable gaseous 02 |
7,152 |
6,286 |
$159K |
| A6402 |
Sterile gauze <= 16 sq in |
6,679 |
6,662 |
$150K |
| A4927 |
Non-sterile gloves |
6,456 |
6,447 |
$141K |
| A4628 |
Oropharyngeal suction cath |
6,537 |
6,519 |
$136K |
| A7002 |
Tubing used w suction pump |
7,227 |
7,208 |
$122K |
| T4541 |
Large disposable underpad |
1,969 |
1,969 |
$93K |
| B4088 |
Gastro/jejuno tube, low-pro |
196 |
196 |
$27K |
| T4522 |
Adult size brief/diaper med |
173 |
173 |
$16K |
| E0600 |
Suction pump portab hom modl |
157 |
138 |
$16K |
| A7525 |
Tracheostomy mask |
1,958 |
1,957 |
$13K |
| A7010 |
Disposable corrugated tubing |
648 |
646 |
$13K |
| T4521 |
Adult size brief/diaper sm |
36 |
36 |
$3K |
| A4402 |
Lubricant per ounce |
479 |
479 |
$1K |