| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
20,722 |
20,477 |
$1.51M |
| E0466 |
Home vent non-invasive inter |
1,959 |
1,919 |
$837K |
| E0601 |
Cont airway pressure device |
9,068 |
8,842 |
$629K |
| B4035 |
Enteral feed supp pump per d |
25,197 |
10,956 |
$398K |
| B4153 |
Ef hydrolyzed/amino acids |
2,307 |
1,149 |
$290K |
| B4152 |
Ef calorie dense>/=1.5kcal |
14,085 |
6,608 |
$227K |
| A7030 |
Cpap full face mask |
3,107 |
3,081 |
$212K |
| E0470 |
Rad w/o backup non-inv intfc |
1,437 |
1,407 |
$204K |
| E0431 |
Portable gaseous 02 |
13,422 |
13,271 |
$200K |
| E0562 |
Humidifier heated used w pap |
5,343 |
5,189 |
$194K |
| E0570 |
Nebulizer with compression |
5,318 |
5,286 |
$162K |
| B4154 |
Ef spec metabolic noninherit |
5,697 |
2,333 |
$146K |
| B4150 |
Ef complet w/intact nutrient |
8,502 |
3,762 |
$135K |
| A7031 |
Replacement facemask interfa |
3,445 |
3,338 |
$114K |
| E0143 |
Walker folding wheeled w/o s |
2,768 |
2,759 |
$112K |
| E2402 |
Neg press wound therapy pump |
180 |
176 |
$94K |
| E0482 |
Cough stimulating device |
534 |
533 |
$81K |
| E0483 |
Hi freq chest wall oscil sys |
228 |
222 |
$68K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,600 |
1,580 |
$67K |
| K0001 |
Standard wheelchair |
3,595 |
3,562 |
$66K |
| E0445 |
Oximeter non-invasive |
578 |
571 |
$63K |
| A7034 |
Nasal application device |
2,049 |
2,034 |
$63K |
| A7035 |
Pos airway press headgear |
4,692 |
4,646 |
$57K |
| E0630 |
Patient lift hydraulic |
1,480 |
1,469 |
$55K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,071 |
3,043 |
$51K |
| B9002 |
Enter nutr inf pump any type |
3,764 |
3,573 |
$49K |
| A4409 |
Ost skn barr convex <=4 sq i |
2,870 |
2,692 |
$47K |
| A4623 |
Tracheostomy inner cannula |
3,258 |
3,022 |
$46K |
| B4034 |
Enter feed supkit syr by day |
5,031 |
2,591 |
$45K |
| A7032 |
Replacement nasal cushion |
1,810 |
1,740 |
$45K |
| E0163 |
Commode chair with fixed arm |
826 |
825 |
$41K |
| A7037 |
Pos airway pressure tubing |
3,883 |
3,845 |
$36K |
| A4425 |
Ost pch drain for barrier fl |
2,986 |
2,793 |
$36K |
| A4314 |
Cath w/drainage 2-way latex |
10,578 |
9,979 |
$30K |
| A4357 |
Bedside drainage bag |
13,480 |
12,642 |
$26K |
| A4407 |
Ext wear ost skn barr <=4sq" |
1,215 |
1,139 |
$25K |
| A4629 |
Tracheostomy care kit |
627 |
576 |
$23K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
1,498 |
1,417 |
$19K |
| A4385 |
Ost skn barrier sld ext wear |
952 |
885 |
$16K |
| A7526 |
Tracheostomy tube collar |
2,490 |
2,312 |
$15K |
| A7000 |
Disposable canister for pump |
1,072 |
922 |
$15K |
| E0776 |
Iv pole |
9,937 |
9,827 |
$13K |
| A7005 |
Nondisposable nebulizer set |
1,236 |
1,227 |
$12K |
| B4036 |
Enteral feed sup kit grav by |
873 |
438 |
$12K |
| A5063 |
Drain ostomy pouch w/flange |
1,743 |
1,648 |
$11K |
| A7038 |
Pos airway pressure filter |
4,883 |
4,753 |
$11K |
| E0465 |
Home vent invasive interface |
25 |
25 |
$10K |
| A6550 |
Neg pres wound ther drsg set |
75 |
60 |
$10K |
| A4604 |
Tubing with heating element |
1,237 |
1,225 |
$9K |
| E1392 |
Portable oxygen concentrator |
310 |
308 |
$9K |
| E0240 |
Bath/shower chair |
281 |
280 |
$9K |
| E0156 |
Walker seat attachment |
854 |
848 |
$8K |
| L3908 |
Who cock-up nonmolde pre ots |
202 |
170 |
$7K |
| A4334 |
Urinary cath leg strap |
11,979 |
11,286 |
$7K |
| B4155 |
Ef incomplete/modular |
1,505 |
899 |
$7K |
| E0114 |
Crutch underarm pair no wood |
323 |
305 |
$7K |
| A4349 |
Disposable male external cat |
539 |
502 |
$6K |
| E0600 |
Suction pump portab hom modl |
128 |
126 |
$6K |
| A7046 |
Repl water chamber, pap dev |
1,170 |
1,146 |
$6K |
| S8101 |
Spacer with mask |
368 |
366 |
$6K |
| A7520 |
Trach/laryn tube non-cuffed |
296 |
279 |
$5K |
| A4358 |
Urinary leg or abdomen bag |
3,824 |
3,619 |
$5K |
| A7039 |
Filter, non disposable w pap |
2,112 |
2,095 |
$5K |
| K0002 |
Stnd hemi (low seat) whlchr |
229 |
227 |
$5K |
| A7521 |
Trach/laryn tube cuffed |
634 |
608 |
$4K |
| A5120 |
Skin barrier, wipe or swab |
1,556 |
1,456 |
$4K |
| A7033 |
Replacement nasal pillows |
255 |
244 |
$4K |
| A4406 |
Pectin based ostomy paste |
1,361 |
1,274 |
$3K |
| A4315 |
Cath w/drainage 2-way silcne |
993 |
929 |
$3K |
| A4419 |
Ost pch for bar w flange/flt |
262 |
249 |
$3K |
| T4524 |
Adult size brief/diaper xl |
33 |
31 |
$3K |
| E0443 |
Portable 02 contents, gas |
129 |
129 |
$3K |
| T4523 |
Adult size brief/diaper lg |
31 |
30 |
$3K |
| E0271 |
Mattress innerspring |
140 |
140 |
$2K |
| A7002 |
Tubing used w suction pump |
444 |
361 |
$2K |
| A4554 |
Disposable underpads |
44 |
39 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
249 |
222 |
$2K |
| K0800 |
Pov group 1 std up to 300lbs |
13 |
13 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
31 |
28 |
$2K |
| E0471 |
Rad w/backup non inv intrfc |
13 |
13 |
$1K |
| E0149 |
Heavy duty wheeled walker |
24 |
24 |
$1K |
| A6196 |
Alginate dressing <=16 sq in |
246 |
104 |
$1K |
| A4394 |
Ostomy pouch liq deodorant |
426 |
393 |
$1K |
| T4522 |
Adult size brief/diaper med |
12 |
12 |
$986.88 |
| T4535 |
Disposable liner/shield/pad |
30 |
27 |
$970.48 |
| B4087 |
Gastro/jejuno tube, std |
484 |
483 |
$936.89 |
| E1399 |
Durable medical equipment mi |
15 |
12 |
$854.82 |
| A4351 |
Straight tip urine catheter |
26 |
24 |
$811.48 |
| A4628 |
Oropharyngeal suction cath |
108 |
103 |
$785.73 |
| A7014 |
Compressor nondispos filter |
486 |
474 |
$638.11 |
| L8501 |
Tracheostomy speaking valve |
92 |
92 |
$616.16 |
| A7045 |
Repl exhalation port for pap |
134 |
131 |
$548.05 |
| A7003 |
Nebulizer administration set |
170 |
165 |
$491.52 |
| E0181 |
Press pad alternating w/ pum |
74 |
74 |
$442.81 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
119 |
91 |
$399.63 |
| A6212 |
Foam drg <=16 sq in w/border |
36 |
14 |
$288.17 |
| E1038 |
Transport chair pt wt<=300lb |
54 |
53 |
$278.54 |
| E0185 |
Gel pressure mattress pad |
12 |
12 |
$240.94 |
| E0565 |
Compressor air power source |
13 |
12 |
$232.60 |
| A4371 |
Skin barrier powder per oz |
442 |
404 |
$230.51 |
| A4340 |
Indwelling catheter special |
115 |
108 |
$212.02 |
| E0100 |
Cane adjust/fixed with tip |
25 |
25 |
$173.15 |
| K0195 |
Elevating whlchair leg rests |
74 |
74 |
$136.19 |
| A4367 |
Ostomy belt |
107 |
102 |
$130.95 |
| A4354 |
Cath insertion tray w/bag |
120 |
112 |
$59.74 |
| A4456 |
Adhesive remover, wipes |
12 |
12 |
$32.34 |