| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
4,546 |
4,088 |
$709K |
| A4253 |
Blood glucose/reagent strips |
8,242 |
7,435 |
$565K |
| E0601 |
Cont airway pressure device |
3,973 |
3,696 |
$262K |
| T4527 |
Adult size pull-on lg |
2,689 |
2,317 |
$260K |
| T4526 |
Adult size pull-on med |
2,706 |
2,387 |
$259K |
| T4523 |
Adult size brief/diaper lg |
2,443 |
2,240 |
$257K |
| A4927 |
Non-sterile gloves |
12,949 |
11,285 |
$215K |
| T4528 |
Adult size pull-on xl |
1,975 |
1,735 |
$205K |
| T4524 |
Adult size brief/diaper xl |
1,486 |
1,394 |
$176K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,113 |
923 |
$161K |
| A7030 |
Cpap full face mask |
1,408 |
1,297 |
$154K |
| E0143 |
Walker folding wheeled w/o s |
3,322 |
2,684 |
$151K |
| T4541 |
Large disposable underpad |
6,263 |
5,575 |
$132K |
| A7031 |
Replacement facemask interfa |
1,545 |
1,397 |
$131K |
| A7034 |
Nasal application device |
1,774 |
1,635 |
$124K |
| A4604 |
Tubing with heating element |
2,961 |
2,734 |
$117K |
| T4535 |
Disposable liner/shield/pad |
2,189 |
1,757 |
$115K |
| A7032 |
Replacement nasal cushion |
1,044 |
932 |
$102K |
| T4522 |
Adult size brief/diaper med |
1,019 |
843 |
$91K |
| A4215 |
Sterile needle |
2,811 |
2,610 |
$89K |
| E0562 |
Humidifier heated used w pap |
4,573 |
4,261 |
$83K |
| A4259 |
Lancets per box |
6,229 |
5,648 |
$76K |
| E0607 |
Blood glucose monitor home |
1,526 |
1,389 |
$73K |
| T4534 |
Youth size pull-on |
1,145 |
813 |
$67K |
| E0114 |
Crutch underarm pair no wood |
2,169 |
1,875 |
$62K |
| L3908 |
Who cock-up nonmolde pre ots |
1,496 |
1,102 |
$57K |
| A7038 |
Pos airway pressure filter |
4,195 |
3,775 |
$51K |
| A7035 |
Pos airway press headgear |
2,075 |
1,921 |
$48K |
| T4537 |
Reusable underpad bed size |
1,802 |
1,578 |
$48K |
| E0570 |
Nebulizer with compression |
3,595 |
3,151 |
$45K |
| K0001 |
Standard wheelchair |
1,906 |
1,549 |
$38K |
| E0470 |
Rad w/o backup non-inv intfc |
212 |
200 |
$37K |
| S8490 |
100 insulin syringes |
1,171 |
1,100 |
$37K |
| L3809 |
Whfo w/o joints pre ots |
380 |
314 |
$25K |
| E0260 |
Hosp bed semi-electr w/ matt |
847 |
611 |
$21K |
| A4258 |
Lancet device each |
1,779 |
1,603 |
$21K |
| A7046 |
Repl water chamber, pap dev |
1,286 |
1,173 |
$15K |
| A4670 |
Automatic bp monitor, dial |
318 |
286 |
$14K |
| A7033 |
Replacement nasal pillows |
146 |
141 |
$13K |
| L1820 |
Ko elas w/ condyle pads & jo |
149 |
121 |
$10K |
| A4245 |
Alcohol wipes per box |
2,621 |
2,414 |
$10K |
| L3670 |
So acro/clav can web pre ots |
141 |
121 |
$7K |
| K0195 |
Elevating whlchair leg rests |
475 |
414 |
$6K |
| A7039 |
Filter, non disposable w pap |
579 |
540 |
$5K |
| B4152 |
Ef calorie dense>/=1.5kcal |
34 |
24 |
$5K |
| E0600 |
Suction pump portab hom modl |
340 |
257 |
$4K |
| A7037 |
Pos airway pressure tubing |
111 |
107 |
$3K |
| T4521 |
Adult size brief/diaper sm |
52 |
37 |
$3K |
| B4035 |
Enteral feed supp pump per d |
14 |
12 |
$3K |
| L3260 |
Ambulatory surgical boot eac |
78 |
62 |
$3K |
| L1902 |
Afo ankle gauntlet pre ots |
39 |
38 |
$2K |
| E0630 |
Patient lift hydraulic |
57 |
48 |
$1K |
| A7005 |
Nondisposable nebulizer set |
27 |
25 |
$378.03 |