| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
17,809 |
10,248 |
$12.93M |
| A7520 |
Trach/laryn tube non-cuffed |
11,695 |
11,150 |
$2.69M |
| E1390 |
Oxygen concentrator |
15,005 |
13,932 |
$1.79M |
| A7509 |
Heat & moisture exchange sys |
9,244 |
8,611 |
$1.55M |
| A4606 |
Oxygen probe used w oximeter |
13,869 |
7,686 |
$1.40M |
| A4605 |
Trach suction cath close sys |
2,357 |
2,326 |
$1.28M |
| E0471 |
Rad w/backup non inv intrfc |
3,407 |
3,199 |
$1.22M |
| A7526 |
Tracheostomy tube collar |
11,403 |
11,222 |
$1.13M |
| A4624 |
Tracheal suction tube |
8,609 |
8,450 |
$971K |
| B4035 |
Enteral feed supp pump per d |
5,319 |
5,282 |
$689K |
| B9998 |
Enteral supp not otherwise c |
5,905 |
5,370 |
$472K |
| E0601 |
Cont airway pressure device |
6,533 |
6,530 |
$343K |
| A9900 |
Supply/accessory/service |
8,935 |
5,983 |
$328K |
| S8189 |
Trach supply noc |
647 |
611 |
$314K |
| A4629 |
Tracheostomy care kit |
5,792 |
5,710 |
$304K |
| L8501 |
Tracheostomy speaking valve |
3,206 |
3,191 |
$297K |
| A4322 |
Irrigation syringe |
7,956 |
5,368 |
$251K |
| A7000 |
Disposable canister for pump |
12,759 |
12,637 |
$250K |
| E0431 |
Portable gaseous 02 |
11,356 |
10,658 |
$228K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,365 |
1,312 |
$213K |
| A4623 |
Tracheostomy inner cannula |
1,128 |
1,115 |
$188K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
816 |
716 |
$172K |
| A6402 |
Sterile gauze <= 16 sq in |
12,535 |
11,023 |
$171K |
| A4628 |
Oropharyngeal suction cath |
11,249 |
9,844 |
$167K |
| A4927 |
Non-sterile gloves |
8,368 |
8,319 |
$163K |
| A7521 |
Trach/laryn tube cuffed |
549 |
530 |
$156K |
| E0600 |
Suction pump portab hom modl |
558 |
512 |
$150K |
| A7002 |
Tubing used w suction pump |
13,645 |
13,467 |
$127K |
| E0443 |
Portable 02 contents, gas |
2,913 |
2,149 |
$126K |
| 90378 |
|
309 |
218 |
$113K |
| T5999 |
Supply, nos |
1,708 |
1,559 |
$106K |
| J7323 |
Euflexxa inj per dose |
226 |
226 |
$96K |
| A4604 |
Tubing with heating element |
550 |
545 |
$91K |
| E0445 |
Oximeter non-invasive |
61 |
61 |
$64K |
| J0135 |
Adalimumab injection |
165 |
156 |
$56K |
| A7525 |
Tracheostomy mask |
6,229 |
6,142 |
$54K |
| A7504 |
Tracheostoma hmes filter |
464 |
462 |
$43K |
| A7003 |
Nebulizer administration set |
12,571 |
12,469 |
$41K |
| A7034 |
Nasal application device |
488 |
473 |
$38K |
| A7010 |
Disposable corrugated tubing |
1,677 |
1,670 |
$37K |
| E0570 |
Nebulizer with compression |
355 |
354 |
$37K |
| B4161 |
Ef ped hydrolyzed/amino acid |
55 |
50 |
$33K |
| J7324 |
Orthovisc inj per dose |
61 |
61 |
$27K |
| A7007 |
Lg vol nebulizer disposable |
4,078 |
4,062 |
$22K |
| A4670 |
Automatic bp monitor, dial |
476 |
476 |
$21K |
| J0897 |
Denosumab injection |
70 |
70 |
$21K |
| J0585 |
Injection,onabotulinumtoxina |
40 |
40 |
$16K |
| 90750 |
|
45 |
45 |
$12K |
| A7038 |
Pos airway pressure filter |
698 |
690 |
$11K |
| A7012 |
Nebulizer water collec devic |
3,244 |
3,222 |
$10K |
| J7325 |
Synvisc or synvisc-one |
13 |
12 |
$8K |
| J3490 |
Drugs unclassified injection |
817 |
791 |
$7K |
| A7046 |
Repl water chamber, pap dev |
114 |
114 |
$2K |
| B9002 |
Enter nutr inf pump any type |
12 |
12 |
$2K |
| T4541 |
Large disposable underpad |
74 |
73 |
$890.87 |
| 90677 |
|
112 |
112 |
$796.41 |
| A4253 |
Blood glucose/reagent strips |
17 |
14 |
$386.05 |
| E0607 |
Blood glucose monitor home |
14 |
14 |
$263.25 |
| A7015 |
Aerosol mask used w nebulize |
15 |
12 |
$30.85 |
| J3111 |
Inj. romosozumab-aqqg 1 mg |
50 |
47 |
$0.00 |
| J1438 |
Etanercept injection |
13 |
12 |
$0.00 |