| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
79,752 |
76,104 |
$2.26M |
| A7030 |
Cpap full face mask |
19,240 |
18,549 |
$1.11M |
| E0470 |
Rad w/o backup non-inv intfc |
11,747 |
11,267 |
$724K |
| E0562 |
Humidifier heated used w pap |
12,287 |
12,046 |
$718K |
| A7031 |
Replacement facemask interfa |
22,646 |
21,670 |
$556K |
| E1390 |
Oxygen concentrator |
11,280 |
10,499 |
$520K |
| A7034 |
Nasal application device |
12,225 |
11,774 |
$434K |
| E0471 |
Rad w/backup non inv intrfc |
2,657 |
2,420 |
$420K |
| A7032 |
Replacement nasal cushion |
13,408 |
12,256 |
$267K |
| A4351 |
Straight tip urine catheter |
1,693 |
1,454 |
$255K |
| A7035 |
Pos airway press headgear |
20,385 |
19,679 |
$238K |
| A4604 |
Tubing with heating element |
9,109 |
8,910 |
$226K |
| T4534 |
Youth size pull-on |
2,503 |
2,456 |
$212K |
| A7037 |
Pos airway pressure tubing |
21,537 |
20,658 |
$180K |
| A7038 |
Pos airway pressure filter |
62,088 |
57,015 |
$172K |
| A7033 |
Replacement nasal pillows |
10,292 |
9,430 |
$166K |
| T4526 |
Adult size pull-on med |
2,096 |
2,034 |
$88K |
| T4522 |
Adult size brief/diaper med |
1,706 |
1,651 |
$67K |
| E0431 |
Portable gaseous 02 |
7,508 |
7,178 |
$64K |
| T4523 |
Adult size brief/diaper lg |
1,090 |
1,053 |
$36K |
| A7046 |
Repl water chamber, pap dev |
4,801 |
4,712 |
$34K |
| A7039 |
Filter, non disposable w pap |
7,995 |
7,589 |
$27K |
| A4409 |
Ost skn barr convex <=4 sq i |
219 |
206 |
$21K |
| T4530 |
Ped size brief/diaper lg |
503 |
481 |
$21K |
| T4533 |
Youth size brief/diaper |
730 |
714 |
$20K |
| T4524 |
Adult size brief/diaper xl |
632 |
615 |
$16K |
| T4527 |
Adult size pull-on lg |
339 |
329 |
$13K |
| A4216 |
Sterile water/saline, 10 ml |
581 |
390 |
$9K |
| T4532 |
Ped size pull-on lg |
120 |
118 |
$9K |
| E0603 |
Electric breast pump |
119 |
118 |
$8K |
| A4385 |
Ost skn barrier sld ext wear |
108 |
99 |
$7K |
| T4528 |
Adult size pull-on xl |
169 |
165 |
$5K |
| A4425 |
Ost pch drain for barrier fl |
101 |
93 |
$5K |
| A4357 |
Bedside drainage bag |
501 |
344 |
$3K |
| B4035 |
Enteral feed supp pump per d |
153 |
140 |
$3K |
| A4402 |
Lubricant per ounce |
518 |
386 |
$2K |
| A5120 |
Skin barrier, wipe or swab |
187 |
169 |
$1K |
| A6216 |
Non-sterile gauze<=16 sq in |
303 |
246 |
$1K |
| A6446 |
Conform band s w>=3" <5"/yd |
53 |
36 |
$644.27 |
| E0570 |
Nebulizer with compression |
14 |
12 |
$630.77 |
| A7036 |
Pos airway press chinstrap |
69 |
56 |
$405.82 |
| A4338 |
Indwelling catheter latex |
28 |
13 |
$73.80 |
| B4160 |
Ef ped caloric dense>/=0.7kc |
43 |
25 |
$0.00 |