| Code | Description | Claims | Beneficiaries | Total Paid |
| E1390 |
Oxygen concentrator |
14,134 |
13,629 |
$954K |
| A7030 |
Cpap full face mask |
3,189 |
3,068 |
$227K |
| E0465 |
Home vent invasive interface |
240 |
195 |
$220K |
| E0601 |
Cont airway pressure device |
4,325 |
4,250 |
$190K |
| T4527 |
Adult size pull-on lg |
1,483 |
1,381 |
$133K |
| A4604 |
Tubing with heating element |
4,671 |
4,571 |
$127K |
| E0466 |
Home vent non-invasive inter |
250 |
231 |
$113K |
| A7034 |
Nasal application device |
2,113 |
2,064 |
$106K |
| A7031 |
Replacement facemask interfa |
2,915 |
2,822 |
$94K |
| E0570 |
Nebulizer with compression |
3,656 |
3,588 |
$94K |
| T4526 |
Adult size pull-on med |
1,025 |
966 |
$82K |
| A7035 |
Pos airway press headgear |
4,481 |
4,403 |
$75K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,851 |
1,834 |
$71K |
| T4535 |
Disposable liner/shield/pad |
1,400 |
1,250 |
$71K |
| E0562 |
Humidifier heated used w pap |
427 |
426 |
$64K |
| K0738 |
Portable gas oxygen system |
4,135 |
4,055 |
$63K |
| T4528 |
Adult size pull-on xl |
630 |
604 |
$62K |
| T4534 |
Youth size pull-on |
374 |
373 |
$57K |
| A4606 |
Oxygen probe used w oximeter |
380 |
348 |
$55K |
| E0603 |
Electric breast pump |
304 |
304 |
$48K |
| E0470 |
Rad w/o backup non-inv intfc |
505 |
505 |
$46K |
| A4927 |
Non-sterile gloves |
3,004 |
2,614 |
$46K |
| A7032 |
Replacement nasal cushion |
958 |
943 |
$42K |
| E0431 |
Portable gaseous 02 |
3,336 |
3,295 |
$41K |
| K0001 |
Standard wheelchair |
2,111 |
2,042 |
$40K |
| E1392 |
Portable oxygen concentrator |
2,971 |
2,939 |
$30K |
| T4541 |
Large disposable underpad |
1,377 |
1,331 |
$27K |
| A7038 |
Pos airway pressure filter |
5,944 |
5,746 |
$24K |
| A7046 |
Repl water chamber, pap dev |
2,275 |
2,233 |
$19K |
| T4540 |
Reusable underpad chair size |
632 |
617 |
$18K |
| A7033 |
Replacement nasal pillows |
517 |
517 |
$17K |
| A4351 |
Straight tip urine catheter |
73 |
73 |
$16K |
| A4624 |
Tracheal suction tube |
108 |
105 |
$15K |
| A6530 |
Compression stocking bk18-30 |
295 |
220 |
$15K |
| E0482 |
Cough stimulating device |
49 |
49 |
$13K |
| A7005 |
Nondisposable nebulizer set |
662 |
658 |
$11K |
| T4530 |
Ped size brief/diaper lg |
91 |
91 |
$11K |
| A4239 |
Non-adju cgm supply allow |
44 |
44 |
$10K |
| E0265 |
Hosp bed total electr w/ mat |
68 |
68 |
$10K |
| E0303 |
Hosp bed hvy dty xtra wide |
78 |
78 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
250 |
247 |
$9K |
| T4537 |
Reusable underpad bed size |
302 |
301 |
$9K |
| A7526 |
Tracheostomy tube collar |
241 |
229 |
$9K |
| E0600 |
Suction pump portab hom modl |
277 |
269 |
$9K |
| A7508 |
Housing & integrated adhesiv |
76 |
72 |
$8K |
| T4522 |
Adult size brief/diaper med |
64 |
64 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
78 |
78 |
$7K |
| L4361 |
Pneuma/vac walk boot pre ots |
40 |
40 |
$7K |
| T4544 |
Adlt disp und/pull on abv xl |
32 |
32 |
$6K |
| A7039 |
Filter, non disposable w pap |
724 |
720 |
$6K |
| K0006 |
Heavy duty wheelchair |
116 |
116 |
$6K |
| E0163 |
Commode chair with fixed arm |
128 |
128 |
$5K |
| E0240 |
Bath/shower chair |
148 |
147 |
$5K |
| A7520 |
Trach/laryn tube non-cuffed |
133 |
129 |
$5K |
| E0277 |
Powered pres-redu air mattrs |
63 |
63 |
$4K |
| A7037 |
Pos airway pressure tubing |
424 |
401 |
$4K |
| E0630 |
Patient lift hydraulic |
185 |
185 |
$4K |
| A4216 |
Sterile water/saline, 10 ml |
127 |
121 |
$4K |
| E0114 |
Crutch underarm pair no wood |
156 |
154 |
$4K |
| A4629 |
Tracheostomy care kit |
73 |
73 |
$4K |
| A4385 |
Ost skn barrier sld ext wear |
53 |
52 |
$4K |
| A4623 |
Tracheostomy inner cannula |
40 |
36 |
$4K |
| K0462 |
Temporary replacement eqpmnt |
38 |
36 |
$3K |
| E1399 |
Durable medical equipment mi |
35 |
32 |
$3K |
| A7000 |
Disposable canister for pump |
336 |
322 |
$3K |
| K0004 |
High strength ltwt whlchr |
46 |
46 |
$3K |
| E0565 |
Compressor air power source |
72 |
72 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
279 |
275 |
$3K |
| A4670 |
Automatic bp monitor, dial |
62 |
62 |
$3K |
| A4627 |
Spacer bag/reservoir |
169 |
169 |
$3K |
| A7020 |
Interface, cough stim device |
74 |
74 |
$2K |
| E0247 |
Trans bench w/wo comm open |
32 |
31 |
$2K |
| E0471 |
Rad w/backup non inv intrfc |
12 |
12 |
$2K |
| E0149 |
Heavy duty wheeled walker |
61 |
61 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
49 |
42 |
$2K |
| T4525 |
Adult size pull-on sm |
15 |
15 |
$2K |
| A4628 |
Oropharyngeal suction cath |
164 |
158 |
$1K |
| T4523 |
Adult size brief/diaper lg |
12 |
12 |
$1K |
| A7036 |
Pos airway press chinstrap |
137 |
137 |
$1K |
| K0195 |
Elevating whlchair leg rests |
264 |
264 |
$1K |
| E2601 |
Gen w/c cushion wdth < 22 in |
48 |
46 |
$1K |
| E0165 |
Commode chair with detacharm |
107 |
107 |
$1K |
| E0156 |
Walker seat attachment |
175 |
174 |
$1K |
| E0635 |
Patient lift electric |
50 |
50 |
$1K |
| A4409 |
Ost skn barr convex <=4 sq i |
12 |
12 |
$977.38 |
| E0181 |
Press pad alternating w/ pum |
93 |
93 |
$972.91 |
| E1038 |
Transport chair pt wt<=300lb |
156 |
156 |
$971.29 |
| E0961 |
Wheelchair brake extension |
180 |
178 |
$969.48 |
| E0261 |
Hosp bed semi-electr w/o mat |
12 |
12 |
$884.62 |
| A4357 |
Bedside drainage bag |
64 |
64 |
$861.89 |
| A6402 |
Sterile gauze <= 16 sq in |
115 |
113 |
$771.30 |
| E0550 |
Humidif extens supple w ippb |
27 |
27 |
$699.73 |
| L4350 |
Ankle control ortho pre ots |
15 |
15 |
$698.27 |
| L1812 |
Ko elastic w/joints pre ots |
14 |
14 |
$688.23 |
| E0951 |
Loop heel |
173 |
172 |
$683.56 |
| L1902 |
Afo ankle gauntlet pre ots |
15 |
15 |
$649.44 |
| E0940 |
Trapeze bar free standing |
56 |
56 |
$483.18 |
| A6453 |
Self-adher band w <3"/yd |
218 |
215 |
$467.19 |
| A4332 |
Lube sterile packet |
57 |
57 |
$451.01 |
| A6216 |
Non-sterile gauze<=16 sq in |
36 |
36 |
$442.55 |
| K0003 |
Lightweight wheelchair |
13 |
13 |
$399.08 |
| A4456 |
Adhesive remover, wipes |
49 |
49 |
$381.96 |
| A7003 |
Nebulizer administration set |
181 |
178 |
$364.96 |
| A5120 |
Skin barrier, wipe or swab |
55 |
55 |
$327.25 |
| K0739 |
Repair/svc dme non-oxygen eq |
91 |
83 |
$321.90 |
| A5500 |
Diab shoe for density insert |
12 |
12 |
$250.02 |
| A7002 |
Tubing used w suction pump |
50 |
49 |
$239.00 |
| A4358 |
Urinary leg or abdomen bag |
31 |
31 |
$225.09 |
| E0100 |
Cane adjust/fixed with tip |
25 |
25 |
$184.35 |
| A7007 |
Lg vol nebulizer disposable |
38 |
38 |
$182.60 |
| A7015 |
Aerosol mask used w nebulize |
78 |
78 |
$93.06 |
| A4520 |
Incontinence garment anytype |
121 |
97 |
$21.82 |
| A7525 |
Tracheostomy mask |
44 |
43 |
$4.88 |