| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
363,738 |
351,791 |
$15.46M |
| E0465 |
Home vent invasive interface |
7,334 |
6,851 |
$3.62M |
| T4534 |
Youth size pull-on |
41,972 |
40,746 |
$2.75M |
| E0445 |
Oximeter non-invasive |
11,502 |
10,903 |
$2.37M |
| E0466 |
Home vent non-invasive inter |
6,627 |
6,227 |
$2.34M |
| A4351 |
Straight tip urine catheter |
18,696 |
16,727 |
$2.29M |
| E0431 |
Portable gaseous 02 |
292,392 |
284,180 |
$2.28M |
| K0001 |
Standard wheelchair |
125,290 |
116,764 |
$1.92M |
| T4530 |
Ped size brief/diaper lg |
53,595 |
51,575 |
$1.76M |
| A4353 |
Intermittent urinary cath |
3,046 |
2,539 |
$1.62M |
| E0570 |
Nebulizer with compression |
45,431 |
44,267 |
$1.44M |
| E0260 |
Hosp bed semi-electr w/ matt |
43,840 |
39,150 |
$1.25M |
| A4624 |
Tracheal suction tube |
9,472 |
8,145 |
$1.22M |
| T4533 |
Youth size brief/diaper |
36,669 |
35,336 |
$1.13M |
| A4352 |
Coude tip urinary catheter |
2,381 |
2,035 |
$1.03M |
| A4409 |
Ost skn barr convex <=4 sq i |
14,174 |
12,535 |
$791K |
| E0143 |
Walker folding wheeled w/o s |
25,878 |
25,293 |
$646K |
| T4526 |
Adult size pull-on med |
18,059 |
17,333 |
$604K |
| A7030 |
Cpap full face mask |
23,805 |
22,621 |
$601K |
| A4385 |
Ost skn barrier sld ext wear |
12,351 |
10,937 |
$600K |
| T4532 |
Ped size pull-on lg |
10,093 |
9,803 |
$588K |
| K0003 |
Lightweight wheelchair |
23,345 |
22,049 |
$577K |
| E0603 |
Electric breast pump |
6,532 |
6,445 |
$565K |
| K0007 |
Extra heavy duty wheelchair |
10,530 |
9,833 |
$554K |
| T4522 |
Adult size brief/diaper med |
21,192 |
20,360 |
$552K |
| A7520 |
Trach/laryn tube non-cuffed |
7,367 |
6,465 |
$537K |
| A7526 |
Tracheostomy tube collar |
12,816 |
9,588 |
$504K |
| E0482 |
Cough stimulating device |
2,338 |
2,191 |
$502K |
| A6197 |
Alginate drsg >16 <=48 sq in |
4,856 |
4,253 |
$486K |
| A4425 |
Ost pch drain for barrier fl |
13,750 |
12,012 |
$461K |
| E0630 |
Patient lift hydraulic |
14,965 |
13,733 |
$430K |
| K0195 |
Elevating whlchair leg rests |
46,640 |
44,246 |
$428K |
| A4629 |
Tracheostomy care kit |
6,049 |
5,262 |
$418K |
| E0600 |
Suction pump portab hom modl |
17,701 |
16,838 |
$408K |
| A7031 |
Replacement facemask interfa |
25,511 |
23,727 |
$350K |
| A4407 |
Ext wear ost skn barr <=4sq" |
4,691 |
4,078 |
$339K |
| T4523 |
Adult size brief/diaper lg |
13,507 |
12,972 |
$331K |
| A4649 |
Surgical supplies |
16,706 |
11,682 |
$328K |
| E0277 |
Powered pres-redu air mattrs |
4,097 |
3,411 |
$327K |
| A4606 |
Oxygen probe used w oximeter |
7,287 |
6,491 |
$290K |
| T4521 |
Adult size brief/diaper sm |
7,032 |
6,758 |
$282K |
| E0265 |
Hosp bed total electr w/ mat |
4,891 |
4,202 |
$280K |
| E1226 |
Manual fully reclining back |
9,220 |
8,697 |
$280K |
| A4217 |
Sterile water/saline, 500 ml |
4,796 |
4,275 |
$269K |
| T4527 |
Adult size pull-on lg |
6,209 |
5,920 |
$266K |
| A6212 |
Foam drg <=16 sq in w/border |
2,565 |
2,264 |
$262K |
| T4524 |
Adult size brief/diaper xl |
7,187 |
6,896 |
$249K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
5,733 |
4,923 |
$244K |
| E0303 |
Hosp bed hvy dty xtra wide |
3,476 |
3,039 |
$243K |
| A7034 |
Nasal application device |
14,415 |
13,712 |
$239K |
| A4483 |
Moisture exchanger |
4,056 |
3,587 |
$221K |
| A4216 |
Sterile water/saline, 10 ml |
20,093 |
15,842 |
$213K |
| A4362 |
Solid skin barrier |
3,381 |
3,057 |
$212K |
| A4623 |
Tracheostomy inner cannula |
3,443 |
2,887 |
$205K |
| B4035 |
Enteral feed supp pump per d |
27,237 |
26,402 |
$199K |
| E0247 |
Trans bench w/wo comm open |
3,876 |
3,783 |
$198K |
| A4670 |
Automatic bp monitor, dial |
4,764 |
4,700 |
$183K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
4,960 |
4,305 |
$176K |
| A7032 |
Replacement nasal cushion |
16,202 |
14,531 |
$173K |
| B4161 |
Ef ped hydrolyzed/amino acid |
10,206 |
8,582 |
$171K |
| E0471 |
Rad w/backup non inv intrfc |
5,781 |
5,567 |
$170K |
| A7507 |
Integrated filter & holder |
3,219 |
2,917 |
$169K |
| E0245 |
Tub stool or bench |
3,362 |
3,300 |
$168K |
| A7005 |
Nondisposable nebulizer set |
25,187 |
24,274 |
$159K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
538 |
471 |
$159K |
| E0240 |
Bath/shower chair |
4,328 |
4,286 |
$157K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
19,944 |
15,412 |
$157K |
| E0619 |
Apnea monitor w recorder |
1,487 |
1,378 |
$156K |
| A4605 |
Trach suction cath close sys |
1,683 |
1,505 |
$152K |
| E1392 |
Portable oxygen concentrator |
14,264 |
13,795 |
$150K |
| E0149 |
Heavy duty wheeled walker |
2,086 |
2,038 |
$148K |
| A5063 |
Drain ostomy pouch w/flange |
5,454 |
4,685 |
$145K |
| A6021 |
Collagen dressing <=16 sq in |
1,288 |
1,147 |
$137K |
| A4520 |
Incontinence garment anytype |
2,835 |
2,638 |
$135K |
| E0470 |
Rad w/o backup non-inv intfc |
10,797 |
10,522 |
$124K |
| A4357 |
Bedside drainage bag |
16,897 |
13,338 |
$123K |
| A6446 |
Conform band s w>=3" <5"/yd |
6,734 |
5,851 |
$122K |
| E0635 |
Patient lift electric |
2,457 |
2,188 |
$121K |
| A7521 |
Trach/laryn tube cuffed |
2,551 |
2,127 |
$119K |
| T4531 |
Ped size pull-on sm/med |
2,931 |
2,810 |
$116K |
| A4247 |
Betadine/iodine swabs/wipes |
1,247 |
1,096 |
$114K |
| E0601 |
Cont airway pressure device |
34,456 |
33,684 |
$113K |
| T4528 |
Adult size pull-on xl |
2,670 |
2,537 |
$112K |
| A7037 |
Pos airway pressure tubing |
30,684 |
28,834 |
$111K |
| A7038 |
Pos airway pressure filter |
76,098 |
68,712 |
$109K |
| A7035 |
Pos airway press headgear |
23,140 |
22,128 |
$108K |
| A7033 |
Replacement nasal pillows |
12,148 |
10,907 |
$106K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
1,155 |
1,025 |
$105K |
| E0163 |
Commode chair with fixed arm |
3,710 |
3,627 |
$104K |
| E0202 |
Phototherapy light w/ photom |
578 |
505 |
$103K |
| E0565 |
Compressor air power source |
3,613 |
3,501 |
$92K |
| A4604 |
Tubing with heating element |
7,428 |
7,252 |
$91K |
| K0006 |
Heavy duty wheelchair |
2,322 |
2,188 |
$90K |
| E0550 |
Humidif extens supple w ippb |
5,801 |
5,621 |
$83K |
| A6449 |
Lt compres band >=3" <5"/yd |
2,252 |
2,047 |
$81K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,660 |
1,409 |
$80K |
| A7000 |
Disposable canister for pump |
12,827 |
11,269 |
$79K |
| A4452 |
Waterproof tape |
9,120 |
7,765 |
$76K |
| A4314 |
Cath w/drainage 2-way latex |
2,014 |
1,819 |
$75K |
| E0156 |
Walker seat attachment |
9,595 |
9,287 |
$75K |
| E2601 |
Gen w/c cushion wdth < 22 in |
2,902 |
2,821 |
$71K |
| A6402 |
Sterile gauze <= 16 sq in |
14,304 |
12,243 |
$69K |
| A4349 |
Disposable male external cat |
3,837 |
2,992 |
$69K |
| A7046 |
Repl water chamber, pap dev |
12,718 |
12,194 |
$69K |
| A5120 |
Skin barrier, wipe or swab |
14,650 |
12,719 |
$68K |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,688 |
4,701 |
$65K |
| A7002 |
Tubing used w suction pump |
14,615 |
11,630 |
$65K |
| E0621 |
Patient lift sling or seat |
1,822 |
1,703 |
$63K |
| A6196 |
Alginate dressing <=16 sq in |
411 |
383 |
$60K |
| E0181 |
Press pad alternating w/ pum |
8,103 |
7,140 |
$59K |
| A4358 |
Urinary leg or abdomen bag |
8,963 |
6,883 |
$59K |
| T4543 |
Adult disp brief/diap abv xl |
929 |
852 |
$58K |
| A4310 |
Insert tray w/o bag/cath |
8,221 |
6,888 |
$58K |
| E0971 |
Wheelchair anti-tipping devi |
18,993 |
18,010 |
$57K |
| A4419 |
Ost pch for bar w flange/flt |
2,358 |
1,945 |
$56K |
| A4406 |
Pectin based ostomy paste |
7,320 |
6,457 |
$54K |
| A4424 |
Ost pch drain w bar & filter |
992 |
847 |
$53K |
| A6216 |
Non-sterile gauze<=16 sq in |
13,488 |
11,711 |
$52K |
| A4432 |
Os pch urine w bar/fange/tap |
1,704 |
1,462 |
$50K |
| A6254 |
Absorpt drg <=16 sq in w/bdr |
1,064 |
994 |
$50K |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
1,633 |
1,435 |
$46K |
| A4394 |
Ostomy pouch liq deodorant |
3,904 |
3,400 |
$46K |
| A4338 |
Indwelling catheter latex |
8,134 |
6,143 |
$43K |
| E0244 |
Toilet seat raised |
1,771 |
1,725 |
$43K |
| T4525 |
Adult size pull-on sm |
2,581 |
2,507 |
$42K |
| A4322 |
Irrigation syringe |
2,243 |
1,863 |
$42K |
| B9002 |
Enter nutr inf pump any type |
7,739 |
7,409 |
$39K |
| A6457 |
Tubular dressing |
2,383 |
2,115 |
$38K |
| E0562 |
Humidifier heated used w pap |
4,798 |
4,765 |
$38K |
| A4618 |
Breathing circuits |
2,620 |
2,457 |
$37K |
| A4927 |
Non-sterile gloves |
4,233 |
3,236 |
$35K |
| B4150 |
Ef complet w/intact nutrient |
4,499 |
3,763 |
$35K |
| A4628 |
Oropharyngeal suction cath |
8,034 |
7,102 |
$34K |
| E0651 |
Pneum compressor segmental |
1,451 |
1,413 |
$34K |
| E1399 |
Durable medical equipment mi |
1,714 |
1,546 |
$32K |
| E1038 |
Transport chair pt wt<=300lb |
5,313 |
4,725 |
$30K |
| A4344 |
Cath indw foley 2 way silicn |
1,794 |
1,375 |
$30K |
| A4402 |
Lubricant per ounce |
6,983 |
5,962 |
$30K |
| E0274 |
Over-bed table |
1,398 |
1,259 |
$30K |
| B4154 |
Ef spec metabolic noninherit |
1,049 |
883 |
$27K |
| E0261 |
Hosp bed semi-electr w/o mat |
764 |
716 |
$27K |
| A7039 |
Filter, non disposable w pap |
15,067 |
14,257 |
$26K |
| A4320 |
Irrigation tray |
7,692 |
5,833 |
$25K |
| K0823 |
Pwc gp 2 std cap chair |
264 |
221 |
$24K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
1,204 |
1,073 |
$24K |
| A6266 |
Impreg gauze no h20/sal/yard |
1,021 |
960 |
$23K |
| B4034 |
Enter feed supkit syr by day |
5,991 |
5,613 |
$22K |
| K0738 |
Portable gas oxygen system |
1,052 |
974 |
$22K |
| E0100 |
Cane adjust/fixed with tip |
1,613 |
1,583 |
$21K |
| E0114 |
Crutch underarm pair no wood |
828 |
812 |
$20K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
330 |
258 |
$18K |
| A7003 |
Nebulizer administration set |
7,587 |
6,825 |
$18K |
| B4158 |
Ef ped complete intact nut |
1,264 |
1,122 |
$17K |
| B4149 |
Ef blenderized foods |
4,298 |
2,812 |
$17K |
| A4311 |
Catheter w/o bag 2-way latex |
3,568 |
2,123 |
$17K |
| E0105 |
Cane adjust/fixed quad/3 pro |
523 |
508 |
$16K |
| A4371 |
Skin barrier powder per oz |
6,582 |
6,019 |
$15K |
| A5061 |
Pouch drainable w barrier at |
424 |
396 |
$15K |
| A4332 |
Lube sterile packet |
2,184 |
1,938 |
$15K |
| B4153 |
Ef hydrolyzed/amino acids |
2,172 |
1,924 |
$13K |
| E0705 |
Transfer device |
400 |
389 |
$13K |
| E0978 |
W/c acc,saf belt pelv strap |
4,572 |
4,331 |
$13K |
| A5057 |
1 pc ost pou w built-in conv |
151 |
144 |
$12K |
| A4367 |
Ostomy belt |
3,269 |
2,938 |
$12K |
| A7525 |
Tracheostomy mask |
5,968 |
5,168 |
$11K |
| A4427 |
Ost pch drain/barr lk flng/f |
343 |
307 |
$11K |
| E0165 |
Commode chair with detacharm |
155 |
151 |
$11K |
| E0776 |
Iv pole |
747 |
724 |
$11K |
| E0730 |
Tens four lead |
546 |
539 |
$11K |
| A7012 |
Nebulizer water collec devic |
4,807 |
4,144 |
$10K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
122 |
111 |
$10K |
| E0439 |
Stationary liquid 02 |
1,741 |
1,718 |
$10K |
| T4544 |
Adlt disp und/pull on abv xl |
788 |
746 |
$10K |
| A4373 |
Skin barrier with flange |
163 |
149 |
$10K |
| E2402 |
Neg press wound therapy pump |
524 |
518 |
$9K |
| L8501 |
Tracheostomy speaking valve |
202 |
192 |
$9K |
| K0108 |
W/c component-accessory nos |
209 |
138 |
$9K |
| B4036 |
Enteral feed sup kit grav by |
870 |
837 |
$8K |
| K0002 |
Stnd hemi (low seat) whlchr |
319 |
305 |
$8K |
| E0135 |
Walker folding adjust/fixed |
341 |
339 |
$8K |
| A4595 |
Tens suppl 2 lead per month |
1,837 |
1,667 |
$8K |
| E0153 |
Forearm crutch platform atta |
180 |
179 |
$8K |
| A9900 |
Supply/accessory/service |
765 |
696 |
$8K |
| A4388 |
Drainable pch w ex wear barr |
233 |
198 |
$7K |
| A7015 |
Aerosol mask used w nebulize |
11,472 |
11,221 |
$7K |
| A6219 |
Gauze <= 16 sq in w/border |
546 |
411 |
$7K |
| E0940 |
Trapeze bar free standing |
577 |
527 |
$6K |
| A6199 |
Alginate drsg wound filler |
119 |
104 |
$6K |
| E0910 |
Trapeze bar attached to bed |
1,118 |
987 |
$6K |
| K0053 |
Elevate footrest articulate |
657 |
609 |
$6K |
| A6248 |
Hydrogel drsg gel filler |
226 |
213 |
$5K |
| A4333 |
Urinary cath anchor device |
2,957 |
2,409 |
$5K |
| A4450 |
Non-waterproof tape |
6,135 |
5,249 |
$5K |
| E0241 |
Bath tub wall rail |
269 |
261 |
$5K |
| A7527 |
Trach/laryn tube plug/stop |
1,421 |
1,286 |
$5K |
| A4384 |
Ostomy faceplt/silicone ring |
62 |
41 |
$5K |
| K0739 |
Repair/svc dme non-oxygen eq |
233 |
208 |
$4K |
| A7007 |
Lg vol nebulizer disposable |
1,651 |
1,459 |
$4K |
| A7509 |
Heat & moisture exchange sys |
140 |
116 |
$4K |
| E1372 |
Oxy suppl heater for nebuliz |
442 |
427 |
$4K |
| A4334 |
Urinary cath leg strap |
2,246 |
1,535 |
$4K |
| A4389 |
Drainable pch w st wear barr |
51 |
36 |
$4K |
| A7010 |
Disposable corrugated tubing |
563 |
513 |
$4K |
| A6550 |
Neg pres wound ther drsg set |
765 |
559 |
$3K |
| A4455 |
Adhesive remover per ounce |
2,038 |
1,782 |
$3K |
| B4103 |
Ef ped fluid and electrolyte |
1,131 |
1,000 |
$3K |
| B4100 |
Food thickener oral |
1,194 |
1,112 |
$3K |
| E0168 |
Heavyduty/wide commode chair |
59 |
54 |
$3K |
| B4155 |
Ef incomplete/modular |
3,507 |
2,987 |
$3K |
| A4369 |
Skin barrier liquid per oz |
1,656 |
1,492 |
$2K |
| A4557 |
Lead wires, pair |
691 |
682 |
$2K |
| B9998 |
Enteral supp not otherwise c |
342 |
297 |
$1K |
| E0434 |
Portable liquid 02 |
659 |
659 |
$1K |
| A4213 |
20+ cc syringe only |
729 |
638 |
$1K |
| E1031 |
Rollabout chair with casters |
43 |
42 |
$1K |
| E0443 |
Portable 02 contents, gas |
56 |
45 |
$1K |
| A6454 |
Self-adher band w>=3" <5"/yd |
81 |
57 |
$1K |
| A6261 |
Wound filler gel/paste /oz |
77 |
69 |
$1K |
| E0185 |
Gel pressure mattress pad |
14 |
13 |
$993.70 |
| T4529 |
Ped size brief/diaper sm/med |
66 |
60 |
$928.05 |
| A4405 |
Nonpectin based ostomy paste |
161 |
158 |
$810.32 |
| E0961 |
Wheelchair brake extension |
298 |
293 |
$710.91 |
| A4615 |
Cannula nasal |
441 |
286 |
$695.87 |
| A4331 |
Extension drainage tubing |
384 |
198 |
$676.03 |
| A5056 |
1 pc ost pouch w filter |
14 |
13 |
$645.49 |
| K0800 |
Pov group 1 std up to 300lbs |
15 |
15 |
$545.94 |
| E2365 |
U1 sealed leadacid battery |
40 |
29 |
$541.84 |
| E0424 |
Stationary compressed gas 02 |
26 |
24 |
$528.47 |
| A7020 |
Interface, cough stim device |
53 |
49 |
$482.84 |
| B4088 |
Gastro/jejuno tube, low-pro |
88 |
84 |
$479.83 |
| A4616 |
Tubing (oxygen) per foot |
180 |
170 |
$400.64 |
| A4412 |
Ost pouch drain high output |
28 |
25 |
$370.03 |
| A4364 |
Adhesive, liquid or equal |
171 |
116 |
$362.11 |
| B4104 |
Additive for enteral formula |
1,857 |
1,620 |
$356.52 |
| A6220 |
Gauze >16 <=48 sq in w/bordr |
12 |
12 |
$299.99 |
| E0911 |
Hd trapeze bar attach to bed |
12 |
12 |
$236.06 |
| A6260 |
Wound cleanser any type/size |
16 |
15 |
$170.70 |
| E2392 |
Solid caster tire, integrate |
15 |
13 |
$152.04 |
| A7018 |
Water distilled w/nebulizer |
61 |
56 |
$127.46 |
| E0973 |
W/ch access det adj armrest |
18 |
15 |
$92.60 |
| A7036 |
Pos airway press chinstrap |
147 |
136 |
$90.33 |
| A7013 |
Disposable compressor filter |
72 |
71 |
$26.27 |
| A4456 |
Adhesive remover, wipes |
81 |
65 |
$19.76 |
| B4157 |
Ef special metabolic inherit |
13 |
13 |
$0.00 |