| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
8,666 |
7,391 |
$1.18M |
| E1390 |
Oxygen concentrator |
8,108 |
7,040 |
$745K |
| A4253 |
Blood glucose/reagent strips |
24,955 |
20,500 |
$652K |
| B9998 |
Enteral supp not otherwise c |
7,223 |
5,338 |
$481K |
| B4150 |
Ef complet w/intact nutrient |
6,795 |
5,725 |
$451K |
| S5170 |
Homedelivered prepared meal |
1,898 |
1,657 |
$274K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,219 |
3,577 |
$274K |
| B4036 |
Enteral feed sup kit grav by |
2,962 |
2,527 |
$264K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,687 |
1,560 |
$210K |
| E0601 |
Cont airway pressure device |
2,912 |
2,461 |
$194K |
| A7030 |
Cpap full face mask |
1,707 |
1,594 |
$189K |
| E0570 |
Nebulizer with compression |
2,933 |
2,732 |
$151K |
| A7031 |
Replacement facemask interfa |
2,103 |
1,969 |
$148K |
| A4206 |
1 cc sterile syringe&needle |
5,881 |
4,647 |
$138K |
| B9002 |
Enter nutr inf pump any type |
2,006 |
1,668 |
$117K |
| B4034 |
Enter feed supkit syr by day |
1,781 |
1,540 |
$111K |
| S8490 |
100 insulin syringes |
3,251 |
2,960 |
$103K |
| K0738 |
Portable gas oxygen system |
3,942 |
3,424 |
$90K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
644 |
469 |
$77K |
| A7038 |
Pos airway pressure filter |
2,724 |
2,547 |
$50K |
| B4154 |
Ef spec metabolic noninherit |
243 |
223 |
$47K |
| B4153 |
Ef hydrolyzed/amino acids |
163 |
100 |
$41K |
| A7035 |
Pos airway press headgear |
1,616 |
1,528 |
$39K |
| L3908 |
Who cock-up nonmolde pre ots |
887 |
772 |
$34K |
| A7032 |
Replacement nasal cushion |
634 |
616 |
$31K |
| E0470 |
Rad w/o backup non-inv intfc |
218 |
197 |
$29K |
| A7034 |
Nasal application device |
585 |
565 |
$28K |
| B4155 |
Ef incomplete/modular |
1,583 |
1,354 |
$25K |
| E0562 |
Humidifier heated used w pap |
115 |
111 |
$25K |
| A7005 |
Nondisposable nebulizer set |
1,065 |
1,038 |
$24K |
| E0431 |
Portable gaseous 02 |
1,512 |
1,343 |
$24K |
| T4526 |
Adult size pull-on med |
246 |
206 |
$16K |
| A4385 |
Ost skn barrier sld ext wear |
799 |
619 |
$15K |
| A4314 |
Cath w/drainage 2-way latex |
3,100 |
2,984 |
$15K |
| K0001 |
Standard wheelchair |
512 |
455 |
$13K |
| A4357 |
Bedside drainage bag |
3,889 |
3,670 |
$8K |
| T4523 |
Adult size brief/diaper lg |
69 |
49 |
$8K |
| L4387 |
Non-pneum walk boot pre ots |
66 |
63 |
$8K |
| E0114 |
Crutch underarm pair no wood |
216 |
213 |
$8K |
| A7037 |
Pos airway pressure tubing |
1,453 |
1,384 |
$6K |
| T4522 |
Adult size brief/diaper med |
43 |
37 |
$6K |
| A7046 |
Repl water chamber, pap dev |
479 |
456 |
$5K |
| A4409 |
Ost skn barr convex <=4 sq i |
257 |
208 |
$4K |
| A4554 |
Disposable underpads |
144 |
129 |
$4K |
| A4358 |
Urinary leg or abdomen bag |
1,959 |
1,812 |
$4K |
| A4334 |
Urinary cath leg strap |
3,088 |
2,936 |
$3K |
| A4351 |
Straight tip urine catheter |
33 |
26 |
$3K |
| T4528 |
Adult size pull-on xl |
18 |
13 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
61 |
50 |
$2K |
| T4535 |
Disposable liner/shield/pad |
41 |
36 |
$2K |
| A4604 |
Tubing with heating element |
984 |
909 |
$2K |
| L1812 |
Ko elastic w/joints pre ots |
12 |
12 |
$952.60 |
| E0971 |
Wheelchair anti-tipping devi |
422 |
186 |
$910.71 |
| A5063 |
Drain ostomy pouch w/flange |
33 |
27 |
$509.78 |
| A4315 |
Cath w/drainage 2-way silcne |
73 |
68 |
$267.80 |
| A5120 |
Skin barrier, wipe or swab |
126 |
111 |
$225.78 |
| A4333 |
Urinary cath anchor device |
54 |
49 |
$148.29 |
| A4520 |
Incontinence garment anytype |
113 |
93 |
$140.88 |
| A7003 |
Nebulizer administration set |
41 |
36 |
$120.35 |
| E0978 |
W/c acc,saf belt pelv strap |
44 |
37 |
$100.30 |