| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
64,452 |
62,383 |
$6.96M |
| E0601 |
Cont airway pressure device |
110,001 |
106,735 |
$4.97M |
| K0001 |
Standard wheelchair |
86,672 |
84,183 |
$2.08M |
| B4035 |
Enteral feed supp pump per d |
13,665 |
12,677 |
$2.03M |
| B9002 |
Enter nutr inf pump any type |
26,340 |
25,637 |
$1.58M |
| E0470 |
Rad w/o backup non-inv intfc |
13,593 |
13,209 |
$1.47M |
| E0562 |
Humidifier heated used w pap |
127,918 |
124,450 |
$1.25M |
| E0445 |
Oximeter non-invasive |
17,031 |
16,544 |
$1.18M |
| E0570 |
Nebulizer with compression |
19,024 |
18,134 |
$1.16M |
| E1236 |
Folding ped wc adjustable |
6,607 |
6,482 |
$857K |
| E0431 |
Portable gaseous 02 |
50,518 |
48,589 |
$745K |
| A4353 |
Intermittent urinary cath |
1,260 |
1,139 |
$675K |
| B4149 |
Ef blenderized foods |
2,260 |
1,889 |
$661K |
| E0619 |
Apnea monitor w recorder |
7,426 |
6,461 |
$611K |
| E0471 |
Rad w/backup non inv intrfc |
2,472 |
2,407 |
$551K |
| E0260 |
Hosp bed semi-electr w/ matt |
8,559 |
8,251 |
$545K |
| A4624 |
Tracheal suction tube |
2,716 |
2,371 |
$394K |
| K0007 |
Extra heavy duty wheelchair |
4,900 |
4,755 |
$376K |
| E0143 |
Walker folding wheeled w/o s |
7,302 |
7,033 |
$351K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,863 |
1,597 |
$343K |
| E0250 |
Hosp bed fixed ht w/ mattres |
5,891 |
5,690 |
$334K |
| E0600 |
Suction pump portab hom modl |
12,597 |
12,070 |
$310K |
| K0003 |
Lightweight wheelchair |
8,315 |
8,125 |
$301K |
| K0800 |
Pov group 1 std up to 300lbs |
4,164 |
4,084 |
$253K |
| K0006 |
Heavy duty wheelchair |
4,767 |
4,642 |
$244K |
| K0813 |
Pwc gp 1 std port seat/back |
1,271 |
1,248 |
$223K |
| B4150 |
Ef complet w/intact nutrient |
1,309 |
1,061 |
$212K |
| E0630 |
Patient lift hydraulic |
5,509 |
5,349 |
$209K |
| E0303 |
Hosp bed hvy dty xtra wide |
1,434 |
1,395 |
$205K |
| A4351 |
Straight tip urine catheter |
1,448 |
1,286 |
$198K |
| K0195 |
Elevating whlchair leg rests |
38,335 |
37,411 |
$181K |
| B4034 |
Enter feed supkit syr by day |
3,774 |
3,540 |
$176K |
| A4927 |
Non-sterile gloves |
7,031 |
5,249 |
$154K |
| E0163 |
Commode chair with fixed arm |
3,596 |
3,472 |
$136K |
| A6402 |
Sterile gauze <= 16 sq in |
10,677 |
9,339 |
$129K |
| A4409 |
Ost skn barr convex <=4 sq i |
1,106 |
1,033 |
$109K |
| A7002 |
Tubing used w suction pump |
6,916 |
3,988 |
$102K |
| A4629 |
Tracheostomy care kit |
2,062 |
1,911 |
$96K |
| A7508 |
Housing & integrated adhesiv |
2,196 |
1,801 |
$86K |
| A7520 |
Trach/laryn tube non-cuffed |
1,535 |
1,343 |
$83K |
| A6212 |
Foam drg <=16 sq in w/border |
747 |
659 |
$74K |
| E0776 |
Iv pole |
26,746 |
25,908 |
$71K |
| A4245 |
Alcohol wipes per box |
866 |
788 |
$68K |
| A4217 |
Sterile water/saline, 500 ml |
4,364 |
3,818 |
$64K |
| A4213 |
20+ cc syringe only |
5,936 |
4,336 |
$63K |
| K0801 |
Pov group 1 hd 301-450 lbs |
578 |
576 |
$60K |
| A6197 |
Alginate drsg >16 <=48 sq in |
345 |
293 |
$57K |
| E0439 |
Stationary liquid 02 |
372 |
364 |
$56K |
| E0565 |
Compressor air power source |
4,034 |
3,872 |
$55K |
| A7526 |
Tracheostomy tube collar |
3,165 |
2,726 |
$52K |
| A7003 |
Nebulizer administration set |
23,226 |
22,201 |
$49K |
| A5120 |
Skin barrier, wipe or swab |
3,881 |
3,625 |
$49K |
| A4385 |
Ost skn barrier sld ext wear |
1,319 |
1,099 |
$36K |
| A4216 |
Sterile water/saline, 10 ml |
6,665 |
5,974 |
$35K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
535 |
476 |
$34K |
| E0652 |
Pneum compres w/cal pressure |
127 |
121 |
$31K |
| K0821 |
Pwc gp 2 std port cap chair |
107 |
100 |
$30K |
| A4332 |
Lube sterile packet |
957 |
866 |
$29K |
| A4618 |
Breathing circuits |
1,604 |
1,371 |
$29K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
372 |
336 |
$27K |
| E0149 |
Heavy duty wheeled walker |
324 |
318 |
$27K |
| E2365 |
U1 sealed leadacid battery |
3,297 |
3,212 |
$26K |
| E0156 |
Walker seat attachment |
3,570 |
3,419 |
$25K |
| A4623 |
Tracheostomy inner cannula |
427 |
359 |
$23K |
| A7000 |
Disposable canister for pump |
4,125 |
3,725 |
$22K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
763 |
694 |
$22K |
| A4425 |
Ost pch drain for barrier fl |
1,107 |
1,038 |
$22K |
| E0135 |
Walker folding adjust/fixed |
533 |
517 |
$18K |
| A4456 |
Adhesive remover, wipes |
2,793 |
2,603 |
$14K |
| A6216 |
Non-sterile gauze<=16 sq in |
2,198 |
1,945 |
$14K |
| A5061 |
Pouch drainable w barrier at |
318 |
284 |
$13K |
| A4244 |
Alcohol or peroxide per pint |
765 |
544 |
$13K |
| E0635 |
Patient lift electric |
324 |
310 |
$13K |
| E0181 |
Press pad alternating w/ pum |
1,218 |
1,175 |
$12K |
| A7525 |
Tracheostomy mask |
1,650 |
1,528 |
$12K |
| A6446 |
Conform band s w>=3" <5"/yd |
3,677 |
3,292 |
$11K |
| A4357 |
Bedside drainage bag |
1,061 |
980 |
$11K |
| E0245 |
Tub stool or bench |
1,106 |
954 |
$11K |
| A4406 |
Pectin based ostomy paste |
1,449 |
1,352 |
$11K |
| A4358 |
Urinary leg or abdomen bag |
944 |
873 |
$11K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
157 |
126 |
$10K |
| A4371 |
Skin barrier powder per oz |
1,917 |
1,779 |
$9K |
| A5063 |
Drain ostomy pouch w/flange |
359 |
333 |
$8K |
| A7521 |
Trach/laryn tube cuffed |
282 |
237 |
$8K |
| A7010 |
Disposable corrugated tubing |
918 |
861 |
$8K |
| B9998 |
Enteral supp not otherwise c |
76 |
65 |
$8K |
| A4362 |
Solid skin barrier |
340 |
320 |
$8K |
| A4394 |
Ostomy pouch liq deodorant |
1,563 |
1,467 |
$6K |
| A4452 |
Waterproof tape |
982 |
886 |
$6K |
| A4605 |
Trach suction cath close sys |
271 |
245 |
$6K |
| A7007 |
Lg vol nebulizer disposable |
1,055 |
983 |
$5K |
| E2601 |
Gen w/c cushion wdth < 22 in |
210 |
187 |
$5K |
| E0100 |
Cane adjust/fixed with tip |
383 |
362 |
$5K |
| A4349 |
Disposable male external cat |
132 |
126 |
$5K |
| A7015 |
Aerosol mask used w nebulize |
21,473 |
20,586 |
$5K |
| B4161 |
Ef ped hydrolyzed/amino acid |
64 |
52 |
$4K |
| A4450 |
Non-waterproof tape |
6,550 |
5,883 |
$4K |
| B4088 |
Gastro/jejuno tube, low-pro |
41 |
38 |
$4K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
149 |
124 |
$3K |
| B4036 |
Enteral feed sup kit grav by |
97 |
93 |
$3K |
| E0105 |
Cane adjust/fixed quad/3 pro |
113 |
105 |
$3K |
| E0940 |
Trapeze bar free standing |
153 |
150 |
$2K |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
48 |
46 |
$1K |
| A6266 |
Impreg gauze no h20/sal/yard |
322 |
296 |
$960.85 |
| E0434 |
Portable liquid 02 |
285 |
266 |
$801.28 |
| A6449 |
Lt compres band >=3" <5"/yd |
215 |
194 |
$627.87 |
| A4338 |
Indwelling catheter latex |
97 |
84 |
$448.36 |
| A4310 |
Insert tray w/o bag/cath |
135 |
113 |
$388.26 |
| E0971 |
Wheelchair anti-tipping devi |
18 |
12 |
$306.08 |
| A6219 |
Gauze <= 16 sq in w/border |
16 |
13 |
$171.98 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$141.84 |
| A6447 |
Conform band s w >=5"/yd |
312 |
283 |
$70.18 |
| A7013 |
Disposable compressor filter |
56 |
47 |
$32.61 |
| A4455 |
Adhesive remover per ounce |
24 |
24 |
$21.77 |
| A4367 |
Ostomy belt |
13 |
12 |
$0.00 |
| A6443 |
Conform band n/s w>=3"<5"/yd |
58 |
52 |
$0.00 |