| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
30,766 |
30,079 |
$2.63M |
| E0601 |
Cont airway pressure device |
61,116 |
59,446 |
$2.22M |
| A4604 |
Tubing with heating element |
50,227 |
49,162 |
$1.66M |
| A9276 |
Disposable sensor, cgm sys |
4,023 |
3,980 |
$1.48M |
| A7034 |
Nasal application device |
25,927 |
25,501 |
$1.32M |
| A7031 |
Replacement facemask interfa |
25,406 |
24,684 |
$860K |
| A7032 |
Replacement nasal cushion |
15,924 |
15,643 |
$583K |
| A7035 |
Pos airway press headgear |
32,929 |
32,277 |
$581K |
| E0562 |
Humidifier heated used w pap |
15,187 |
14,843 |
$478K |
| L4361 |
Pneuma/vac walk boot pre ots |
2,448 |
2,421 |
$409K |
| A9277 |
External transmitter, cgm |
1,023 |
1,015 |
$315K |
| E0470 |
Rad w/o backup non-inv intfc |
4,148 |
4,044 |
$311K |
| A7038 |
Pos airway pressure filter |
61,283 |
59,855 |
$311K |
| A4230 |
Infus insulin pump non needl |
1,980 |
1,969 |
$290K |
| L3660 |
So 8 ab rstr can/web pre ots |
3,917 |
3,887 |
$268K |
| A7033 |
Replacement nasal pillows |
8,854 |
8,643 |
$244K |
| A7046 |
Repl water chamber, pap dev |
22,565 |
22,163 |
$233K |
| A4239 |
Non-adju cgm supply allow |
3,247 |
2,898 |
$219K |
| E0114 |
Crutch underarm pair no wood |
7,140 |
7,124 |
$190K |
| L4350 |
Ankle control ortho pre ots |
2,241 |
2,233 |
$134K |
| E1390 |
Oxygen concentrator |
2,174 |
2,146 |
$126K |
| A4232 |
Syringe w/needle insulin 3cc |
2,060 |
2,044 |
$101K |
| E1399 |
Durable medical equipment mi |
1,383 |
719 |
$96K |
| A7037 |
Pos airway pressure tubing |
4,997 |
4,954 |
$86K |
| L3908 |
Who cock-up nonmolde pre ots |
1,837 |
1,778 |
$75K |
| L3807 |
Whfo w/o joints pre cst |
517 |
511 |
$74K |
| L1830 |
Ko immob canvas long pre ots |
1,700 |
1,692 |
$74K |
| E0471 |
Rad w/backup non inv intrfc |
434 |
431 |
$65K |
| A7039 |
Filter, non disposable w pap |
9,015 |
8,869 |
$60K |
| A9274 |
Ext amb insulin delivery sys |
105 |
101 |
$51K |
| L3809 |
Whfo w/o joints pre ots |
338 |
329 |
$37K |
| E0143 |
Walker folding wheeled w/o s |
723 |
720 |
$26K |
| E0466 |
Home vent non-invasive inter |
36 |
36 |
$22K |
| E0570 |
Nebulizer with compression |
4,357 |
4,336 |
$22K |
| A4224 |
Supply insulin inf cath/wk |
277 |
263 |
$20K |
| K0738 |
Portable gas oxygen system |
1,077 |
1,063 |
$18K |
| A7036 |
Pos airway press chinstrap |
1,354 |
1,327 |
$11K |
| L1820 |
Ko elas w/ condyle pads & jo |
96 |
96 |
$9K |
| A4225 |
Sup/ext insulin inf pump syr |
271 |
263 |
$8K |
| E1392 |
Portable oxygen concentrator |
329 |
325 |
$8K |
| E0260 |
Hosp bed semi-electr w/ matt |
228 |
227 |
$3K |
| L3260 |
Ambulatory surgical boot eac |
209 |
205 |
$3K |
| E0100 |
Cane adjust/fixed with tip |
250 |
249 |
$2K |
| K0001 |
Standard wheelchair |
190 |
186 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
184 |
175 |
$1K |
| A6212 |
Foam drg <=16 sq in w/border |
14 |
13 |
$655.20 |
| A4216 |
Sterile water/saline, 10 ml |
31 |
29 |
$333.29 |
| A4450 |
Non-waterproof tape |
56 |
53 |
$197.96 |
| E0156 |
Walker seat attachment |
12 |
12 |
$46.14 |