| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
47,816 |
43,259 |
$1.78M |
| E0465 |
Home vent invasive interface |
3,724 |
3,136 |
$1.77M |
| A4624 |
Tracheal suction tube |
7,950 |
5,865 |
$973K |
| A7526 |
Tracheostomy tube collar |
8,756 |
6,712 |
$481K |
| A4629 |
Tracheostomy care kit |
6,518 |
4,960 |
$440K |
| A7507 |
Integrated filter & holder |
6,870 |
5,087 |
$420K |
| B4035 |
Enteral feed supp pump per d |
2,185 |
1,562 |
$360K |
| K0001 |
Standard wheelchair |
26,833 |
24,369 |
$338K |
| E0431 |
Portable gaseous 02 |
40,330 |
36,774 |
$331K |
| E0260 |
Hosp bed semi-electr w/ matt |
10,385 |
9,253 |
$320K |
| E0601 |
Cont airway pressure device |
10,572 |
9,689 |
$244K |
| A4351 |
Straight tip urine catheter |
1,829 |
1,513 |
$195K |
| K0195 |
Elevating whlchair leg rests |
34,376 |
31,237 |
$181K |
| E0445 |
Oximeter non-invasive |
2,358 |
2,127 |
$175K |
| A7030 |
Cpap full face mask |
4,065 |
3,606 |
$165K |
| E0143 |
Walker folding wheeled w/o s |
6,935 |
6,136 |
$147K |
| K0006 |
Heavy duty wheelchair |
4,725 |
4,248 |
$141K |
| S8189 |
Trach supply noc |
546 |
385 |
$134K |
| E0570 |
Nebulizer with compression |
18,307 |
16,290 |
$134K |
| A4623 |
Tracheostomy inner cannula |
2,288 |
1,690 |
$131K |
| E0619 |
Apnea monitor w recorder |
691 |
629 |
$123K |
| A7000 |
Disposable canister for pump |
10,950 |
8,026 |
$109K |
| B4100 |
Food thickener oral |
1,466 |
1,265 |
$99K |
| A7520 |
Trach/laryn tube non-cuffed |
4,636 |
3,386 |
$97K |
| A7034 |
Nasal application device |
3,603 |
3,214 |
$96K |
| E0600 |
Suction pump portab hom modl |
4,277 |
3,841 |
$96K |
| E0630 |
Patient lift hydraulic |
5,291 |
4,828 |
$93K |
| E0562 |
Humidifier heated used w pap |
8,359 |
7,641 |
$81K |
| A4216 |
Sterile water/saline, 10 ml |
3,991 |
2,771 |
$79K |
| E2402 |
Neg press wound therapy pump |
300 |
240 |
$77K |
| T4541 |
Large disposable underpad |
2,045 |
1,649 |
$77K |
| E0163 |
Commode chair with fixed arm |
3,740 |
3,241 |
$73K |
| T4528 |
Adult size pull-on xl |
707 |
614 |
$62K |
| A7037 |
Pos airway pressure tubing |
7,438 |
6,518 |
$56K |
| A7521 |
Trach/laryn tube cuffed |
2,365 |
1,680 |
$55K |
| A7002 |
Tubing used w suction pump |
10,583 |
7,505 |
$55K |
| E0277 |
Powered pres-redu air mattrs |
874 |
781 |
$54K |
| E1392 |
Portable oxygen concentrator |
5,803 |
5,278 |
$52K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
499 |
394 |
$52K |
| A7035 |
Pos airway press headgear |
5,282 |
4,667 |
$49K |
| E0261 |
Hosp bed semi-electr w/o mat |
5,752 |
5,317 |
$48K |
| A7031 |
Replacement facemask interfa |
2,857 |
2,534 |
$48K |
| A7032 |
Replacement nasal cushion |
2,730 |
2,383 |
$43K |
| E0565 |
Compressor air power source |
1,903 |
1,592 |
$40K |
| A4927 |
Non-sterile gloves |
4,074 |
2,958 |
$33K |
| K0003 |
Lightweight wheelchair |
1,527 |
1,378 |
$33K |
| E0165 |
Commode chair with detacharm |
3,047 |
2,770 |
$32K |
| K0007 |
Extra heavy duty wheelchair |
962 |
865 |
$32K |
| A7038 |
Pos airway pressure filter |
13,468 |
11,871 |
$31K |
| A4425 |
Ost pch drain for barrier fl |
685 |
559 |
$30K |
| E0149 |
Heavy duty wheeled walker |
2,553 |
2,272 |
$29K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
3,480 |
3,151 |
$27K |
| A7046 |
Repl water chamber, pap dev |
3,726 |
2,654 |
$26K |
| A6402 |
Sterile gauze <= 16 sq in |
5,446 |
3,947 |
$26K |
| A4385 |
Ost skn barrier sld ext wear |
314 |
261 |
$26K |
| E0303 |
Hosp bed hvy dty xtra wide |
441 |
397 |
$22K |
| A4628 |
Oropharyngeal suction cath |
4,939 |
3,771 |
$21K |
| A7003 |
Nebulizer administration set |
10,439 |
8,091 |
$20K |
| A7012 |
Nebulizer water collec devic |
5,008 |
3,528 |
$18K |
| B4034 |
Enter feed supkit syr by day |
239 |
179 |
$18K |
| B4161 |
Ef ped hydrolyzed/amino acid |
85 |
64 |
$17K |
| A6550 |
Neg pres wound ther drsg set |
143 |
109 |
$13K |
| E0114 |
Crutch underarm pair no wood |
513 |
460 |
$13K |
| A4409 |
Ost skn barr convex <=4 sq i |
111 |
90 |
$12K |
| E0470 |
Rad w/o backup non-inv intfc |
221 |
202 |
$12K |
| T4522 |
Adult size brief/diaper med |
223 |
175 |
$12K |
| A7039 |
Filter, non disposable w pap |
3,707 |
3,254 |
$12K |
| A7033 |
Replacement nasal pillows |
1,008 |
853 |
$12K |
| A4322 |
Irrigation syringe |
344 |
239 |
$10K |
| E0240 |
Bath/shower chair |
294 |
231 |
$9K |
| E0184 |
Dry pressure mattress |
678 |
591 |
$9K |
| A4520 |
Incontinence garment anytype |
198 |
157 |
$8K |
| E1399 |
Durable medical equipment mi |
60 |
38 |
$7K |
| A4606 |
Oxygen probe used w oximeter |
167 |
130 |
$7K |
| A4604 |
Tubing with heating element |
394 |
359 |
$7K |
| A7525 |
Tracheostomy mask |
5,549 |
3,928 |
$7K |
| E0156 |
Walker seat attachment |
1,715 |
1,484 |
$7K |
| A4394 |
Ostomy pouch liq deodorant |
337 |
293 |
$6K |
| A4554 |
Disposable underpads |
429 |
309 |
$5K |
| T4523 |
Adult size brief/diaper lg |
61 |
50 |
$5K |
| E2601 |
Gen w/c cushion wdth < 22 in |
474 |
401 |
$5K |
| A4456 |
Adhesive remover, wipes |
276 |
212 |
$4K |
| L4361 |
Pneuma/vac walk boot pre ots |
25 |
24 |
$4K |
| E0168 |
Heavyduty/wide commode chair |
151 |
138 |
$4K |
| A5120 |
Skin barrier, wipe or swab |
539 |
422 |
$3K |
| E1226 |
Manual fully reclining back |
245 |
207 |
$3K |
| B4152 |
Ef calorie dense>/=1.5kcal |
33 |
25 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
3,495 |
2,912 |
$3K |
| E2202 |
Seat width 24-27 in |
415 |
383 |
$3K |
| T4524 |
Adult size brief/diaper xl |
27 |
26 |
$3K |
| A7010 |
Disposable corrugated tubing |
294 |
218 |
$3K |
| A7007 |
Lg vol nebulizer disposable |
623 |
319 |
$2K |
| E1038 |
Transport chair pt wt<=300lb |
892 |
840 |
$2K |
| K0002 |
Stnd hemi (low seat) whlchr |
141 |
130 |
$2K |
| E0247 |
Trans bench w/wo comm open |
122 |
85 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
47 |
46 |
$1K |
| E0910 |
Trapeze bar attached to bed |
324 |
288 |
$1K |
| A4371 |
Skin barrier powder per oz |
306 |
266 |
$1K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
32 |
26 |
$940.14 |
| L1830 |
Ko immob canvas long pre ots |
15 |
14 |
$794.57 |
| A4565 |
Slings |
107 |
104 |
$491.29 |
| E0550 |
Humidif extens supple w ippb |
46 |
28 |
$488.73 |
| A4349 |
Disposable male external cat |
21 |
12 |
$320.56 |
| B4088 |
Gastro/jejuno tube, low-pro |
14 |
12 |
$257.51 |
| E0971 |
Wheelchair anti-tipping devi |
141 |
125 |
$147.97 |
| A4405 |
Nonpectin based ostomy paste |
14 |
12 |
$112.32 |
| E0100 |
Cane adjust/fixed with tip |
13 |
12 |
$92.94 |