NPI: 1437154010 · BRONX, NY 10462 · Prosthetic/Orthotic Supplier · NPI assigned 06/20/2005
Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more
| Authorized Official | RUSSALESI, WENDY (CHIEF COMPLIANCE OFFICER) |
| NPI Enumeration Date | 06/20/2005 |
Other providers sharing the same authorized official: RUSSALESI, WENDY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 267,623 | $8.84M |
| 2019 | 374,600 | $11.21M |
| 2020 | 472,928 | $14.15M |
| 2021 | 528,867 | $16.95M |
| 2022 | 864,549 | $24.55M |
| 2023 | 1,166,602 | $33.86M |
| 2024 | 1,000,103 | $29.36M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 257,497 | 254,405 | $13.83M |
| A4554 | Disposable underpads, all sizes | 439,344 | 433,928 | $11.88M |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 180,929 | 178,571 | $8.61M |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 13,397 | 13,263 | $6.71M |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 167,909 | 165,935 | $5.60M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 33,071 | 32,726 | $5.18M |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 90,394 | 89,230 | $5.06M |
| E0601 | Continuous positive airway pressure (cpap) device | 110,563 | 109,660 | $4.97M |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 324,182 | 319,365 | $4.75M |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 105,971 | 104,020 | $3.37M |
| A7030 | Full face mask used with positive airway pressure device, each | 43,878 | 43,644 | $2.57M |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 24,773 | 24,381 | $2.56M |
| K0001 | Standard wheelchair | 248,761 | 245,846 | $2.50M |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 137,194 | 136,031 | $2.22M |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 121,981 | 120,674 | $2.19M |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | 27,793 | 27,549 | $2.12M |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 170,968 | 169,175 | $2.08M |
| E0562 | Humidifier, heated, used with positive airway pressure device | 25,587 | 25,360 | $1.99M |
| A7031 | Face mask interface, replacement for full face mask, each | 48,336 | 47,907 | $1.97M |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | 47,856 | 47,399 | $1.63M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 3,082 | 2,933 | $1.63M |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 38,016 | 37,657 | $1.62M |
| E0277 | Powered pressure-reducing air mattress | 11,778 | 11,702 | $1.57M |
| E0240 | Bath/shower chair, with or without wheels, any size | 50,666 | 50,112 | $1.56M |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | 59,031 | 58,470 | $1.55M |
| E0247 | Transfer bench for tub or toilet with or without commode opening | 19,174 | 18,877 | $1.39M |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | 27,790 | 27,449 | $1.34M |
| E2611 | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware | 20,693 | 20,104 | $1.33M |
| E0163 | Commode chair, mobile or stationary, with fixed arms | 42,986 | 42,075 | $1.32M |
| K0003 | Lightweight wheelchair | 70,485 | 69,731 | $1.27M |
| E0784 | External ambulatory infusion pump, insulin | 949 | 935 | $1.22M |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 14,769 | 14,651 | $1.20M |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 52,815 | 52,528 | $1.16M |
| E1392 | Portable oxygen concentrator, rental | 44,657 | 44,310 | $1.13M |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 4,038 | 3,815 | $898K |
| E0483 | High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each | 1,444 | 1,435 | $765K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 6,301 | 6,064 | $751K |
| E0570 | Nebulizer, with compressor | 69,020 | 68,240 | $732K |
| E0241 | Bath tub wall rail, each | 24,890 | 24,170 | $719K |
| A4927 | Gloves, non-sterile, per 100 | 206,775 | 203,956 | $717K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 6,177 | 5,952 | $716K |
| A7035 | Headgear used with positive airway pressure device | 62,258 | 61,926 | $667K |
| E0185 | Gel or gel-like pressure pad for mattress, standard mattress length and width | 12,753 | 12,391 | $662K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | 37,778 | 27,988 | $625K |
| E0990 | Wheelchair accessory, elevating leg rest, complete assembly, each | 68,945 | 67,868 | $602K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | 17,466 | 17,307 | $569K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5,093 | 4,938 | $551K |
| A4670 | Automatic blood pressure monitor | 13,625 | 13,487 | $548K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 5,244 | 5,146 | $506K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 7,062 | 6,820 | $499K |
| A7037 | Tubing used with positive airway pressure device | 52,272 | 52,042 | $493K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 6,102 | 5,849 | $490K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | 4,783 | 4,609 | $480K |
| A7038 | Filter, disposable, used with positive airway pressure device | 121,397 | 120,025 | $479K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 3,546 | 3,529 | $450K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 7,483 | 7,319 | $428K |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | 28,897 | 28,021 | $422K |
| A4629 | Tracheostomy care kit for established tracheostomy | 6,173 | 6,022 | $420K |
| T4539 | Incontinence product, diaper/brief, reusable, any size, each | 26,270 | 25,730 | $411K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 3,649 | 3,580 | $408K |
| E1226 | Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each | 3,702 | 3,572 | $387K |
| E0156 | Seat attachment, walker | 50,027 | 49,303 | $385K |
| K0006 | Heavy duty wheelchair | 12,111 | 11,898 | $355K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 39,709 | 39,518 | $350K |
| T4540 | Incontinence product, protective underpad, reusable, chair size, each | 28,380 | 28,053 | $349K |
| E0274 | Over-bed table | 5,068 | 4,958 | $339K |
| E0244 | Raised toilet seat | 19,768 | 19,432 | $328K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | 12,810 | 12,656 | $313K |
| E0271 | Mattress, innerspring | 8,083 | 7,911 | $307K |
| E1399 | Durable medical equipment, miscellaneous | 7,793 | 7,604 | $300K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1,580 | 1,414 | $291K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 10,492 | 7,516 | $285K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | 13,639 | 13,397 | $279K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 1,290 | 1,281 | $270K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 2,671 | 2,609 | $267K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 94,834 | 93,978 | $252K |
| K0800 | Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds | 6,365 | 6,353 | $249K |
| K0007 | Extra heavy duty wheelchair | 4,962 | 4,914 | $246K |
| K0004 | High strength, lightweight wheelchair | 4,394 | 4,328 | $221K |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | 862 | 856 | $208K |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | 24,222 | 17,547 | $205K |
| A4623 | Tracheostomy, inner cannula | 3,401 | 3,298 | $188K |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 1,578 | 1,567 | $187K |
| E0303 | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress | 3,861 | 3,845 | $181K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 4,053 | 3,863 | $171K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | 3,689 | 3,442 | $171K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | 17,761 | 17,601 | $168K |
| A6197 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 1,300 | 1,246 | $162K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 1,887 | 1,801 | $157K |
| A4353 | Intermittent urinary catheter, with insertion supplies | 514 | 500 | $150K |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | 16,345 | 16,181 | $146K |
| A4217 | Sterile water/saline, 500 ml | 10,883 | 10,431 | $145K |
| K0801 | Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds | 1,647 | 1,645 | $140K |
| E0301 | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress | 1,102 | 1,077 | $133K |
| A6213 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | 1,107 | 1,056 | $130K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 29,087 | 28,947 | $130K |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | 15,403 | 14,990 | $128K |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | 4,914 | 4,859 | $118K |
| K0825 | Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds | 523 | 522 | $113K |
| E0165 | Commode chair, mobile or stationary, with detachable arms | 7,988 | 7,850 | $110K |
| E1038 | Transport chair, adult size, patient weight capacity up to and including 300 pounds | 39,854 | 39,531 | $108K |
| E0181 | Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty | 19,669 | 19,465 | $107K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 10,989 | 10,514 | $104K |
| B9002 | Enteral nutrition infusion pump, any type | 2,243 | 2,199 | $102K |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | 1,846 | 1,800 | $96K |
| E0168 | Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each | 2,613 | 2,573 | $94K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | 2,781 | 2,685 | $93K |
| E0105 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | 5,610 | 5,553 | $93K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 6,047 | 5,959 | $91K |
| A6253 | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing | 832 | 815 | $83K |
| E0243 | Toilet rail, each | 2,511 | 2,487 | $82K |
| A7526 | Tracheostomy tube collar/holder, each | 4,776 | 4,622 | $78K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 3,977 | 3,817 | $76K |
| E0246 | Transfer tub rail attachment | 2,049 | 2,021 | $74K |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 291 | 288 | $74K |
| A4349 | Male external catheter, with or without adhesive, disposable, each | 2,826 | 2,749 | $74K |
| E2612 | General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware | 719 | 695 | $73K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | 9,216 | 9,135 | $69K |
| A7000 | Canister, disposable, used with suction pump, each | 8,111 | 7,878 | $69K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | 1,559 | 1,538 | $68K |
| K0002 | Standard hemi (low seat) wheelchair | 4,210 | 4,151 | $66K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | 1,648 | 1,624 | $65K |
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | 1,699 | 1,675 | $65K |
| A4402 | Lubricant, per ounce | 13,025 | 12,782 | $64K |
| A4605 | Tracheal suction catheter, closed system, each | 724 | 701 | $62K |
| E0248 | Transfer bench, heavy duty, for tub or toilet with or without commode opening | 484 | 475 | $61K |
| E0245 | Tub stool or bench | 2,598 | 2,574 | $60K |
| E2622 | Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth | 662 | 643 | $60K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | 4,260 | 4,157 | $60K |
| E2202 | Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches | 712 | 701 | $58K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | 3,910 | 3,813 | $57K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 2,227 | 2,209 | $56K |
| A7039 | Filter, non disposable, used with positive airway pressure device | 21,384 | 21,301 | $55K |
| E1020 | Residual limb support system for wheelchair, any type | 3,323 | 3,118 | $52K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | 1,499 | 1,463 | $48K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | 1,152 | 1,117 | $48K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | 1,081 | 1,061 | $46K |
| E2602 | General use wheelchair seat cushion, width 22 inches or greater, any depth | 1,251 | 1,219 | $44K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | 1,015 | 996 | $42K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | 2,888 | 2,814 | $38K |
| A6240 | Hydrocolloid dressing, wound filler, paste, sterile, per ounce | 1,007 | 992 | $38K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | 5,623 | 5,440 | $37K |
| E0310 | Bed side rails, full length | 2,302 | 2,268 | $36K |
| E0135 | Walker, folding (pickup), adjustable or fixed height | 1,648 | 1,618 | $35K |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | 3,237 | 2,503 | $29K |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each | 434 | 422 | $28K |
| E0910 | Trapeze bars, a/k/a patient helper, attached to bed, with grab bar | 5,898 | 5,803 | $28K |
| A7036 | Chinstrap used with positive airway pressure device | 4,597 | 4,585 | $27K |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | 641 | 625 | $27K |
| A4452 | Tape, waterproof, per 18 square inches | 2,694 | 2,633 | $26K |
| A4335 | Incontinence supply; miscellaneous | 4,265 | 4,217 | $26K |
| E0635 | Patient lift, electric with seat or sling | 1,143 | 1,141 | $25K |
| E0266 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress | 336 | 330 | $25K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 341 | 335 | $23K |
| A7002 | Tubing, used with suction pump, each | 7,752 | 7,502 | $23K |
| E2603 | Skin protection wheelchair seat cushion, width less than 22 inches, any depth | 644 | 614 | $21K |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | 157 | 157 | $21K |
| A4322 | Irrigation syringe, bulb or piston, each | 1,448 | 1,331 | $21K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 2,905 | 2,688 | $20K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 281 | 279 | $20K |
| A6223 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing | 522 | 510 | $19K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | 2,754 | 2,732 | $19K |
| A5120 | Skin barrier, wipes or swabs, each | 2,689 | 2,620 | $17K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 790 | 769 | $17K |
| E2365 | Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | 357 | 356 | $17K |
| E0705 | Transfer device, any type, each | 973 | 948 | $17K |
| A4259 | Lancets, per box of 100 | 5,473 | 5,393 | $16K |
| A6196 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing | 193 | 189 | $16K |
| E1031 | Rollabout chair, any and all types with casters 5" or greater | 1,995 | 1,986 | $15K |
| V5266 | Battery for use in hearing device | 1,419 | 1,408 | $15K |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 549 | 528 | $15K |
| E0776 | Iv pole | 2,573 | 2,558 | $13K |
| A4450 | Tape, non-waterproof, per 18 square inches | 3,508 | 3,431 | $12K |
| A6248 | Hydrogel dressing, wound filler, gel, per fluid ounce | 286 | 280 | $12K |
| A7007 | Large volume nebulizer, disposable, unfilled, used with aerosol compressor | 3,465 | 3,378 | $11K |
| K0053 | Elevating footrests, articulating (telescoping), each | 1,878 | 1,811 | $11K |
| A4417 | Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each | 130 | 128 | $11K |
| E0912 | Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar | 405 | 404 | $11K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 137 | 135 | $11K |
| A6403 | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing | 397 | 390 | $8K |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 15 | 12 | $8K |
| A4287 | Disposable collection and storage bag for breast milk, any size, any type, each | 182 | 182 | $8K |
| A4456 | Adhesive remover, wipes, any type, each | 1,009 | 992 | $8K |
| A6210 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | 31 | 28 | $7K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | 30 | 30 | $7K |
| A6454 | Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard | 521 | 508 | $7K |
| A4310 | Insertion tray without drainage bag and without catheter (accessories only) | 889 | 850 | $7K |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 240 | 226 | $7K |
| A7525 | Tracheostomy mask, each | 3,169 | 3,085 | $7K |
| E0190 | Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories | 406 | 396 | $7K |
| E0110 | Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips | 140 | 140 | $7K |
| A4245 | Alcohol wipes, per box | 5,874 | 5,766 | $6K |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 18 | 18 | $6K |
| A7010 | Corrugated tubing, disposable, used with large volume nebulizer, 100 feet | 1,206 | 1,164 | $6K |
| E0215 | Electric heat pad, moist | 201 | 201 | $6K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 2,409 | 2,319 | $6K |
| K0052 | Swingaway, detachable footrests, replacement only, each | 1,297 | 1,276 | $5K |
| A6456 | Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 328 | 316 | $5K |
| E0154 | Platform attachment, walker, each | 196 | 168 | $5K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 1,087 | 1,047 | $5K |
| B4100 | Food thickener, administered orally, per ounce | 116 | 116 | $5K |
| A4231 | Infusion set for external insulin pump, needle type | 49 | 42 | $4K |
| A4432 | Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each | 162 | 158 | $4K |
| E1039 | Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds | 591 | 590 | $4K |
| A7015 | Aerosol mask, used with dme nebulizer | 4,585 | 4,533 | $3K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 33 | 33 | $3K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | 268 | 264 | $3K |
| E2209 | Accessory, arm trough, with or without hand support, each | 81 | 78 | $3K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 37 | 36 | $3K |
| E0210 | Electric heat pad, standard | 225 | 225 | $3K |
| A4371 | Ostomy skin barrier, powder, per oz | 807 | 792 | $3K |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | 351 | 345 | $2K |
| E2208 | Wheelchair accessory, cylinder tank carrier, each | 163 | 154 | $2K |
| A6450 | Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard | 188 | 183 | $2K |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 168 | 157 | $2K |
| A7012 | Water collection device, used with large volume nebulizer | 882 | 868 | $2K |
| E0607 | Home blood glucose monitor | 59 | 58 | $2K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 25 | 24 | $2K |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | 899 | 877 | $2K |
| A6207 | Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 41 | 41 | $2K |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | 672 | 672 | $2K |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 65 | 64 | $2K |
| E0950 | Wheelchair accessory, tray, each | 81 | 79 | $2K |
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | 15 | 15 | $1K |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | 77 | 77 | $1K |
| A4244 | Alcohol or peroxide, per pint | 718 | 707 | $1K |
| E0325 | Urinal; male, jug-type, any material | 449 | 446 | $1K |
| K0056 | Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair | 69 | 69 | $1K |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, each | 36 | 36 | $1K |
| E0305 | Bed side rails, half length | 59 | 58 | $1K |
| A4367 | Ostomy belt, each | 255 | 254 | $1K |
| A6443 | Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard | 207 | 196 | $973.46 |
| A4246 | Betadine or phisohex solution, per pint | 221 | 217 | $866.60 |
| A4320 | Irrigation tray with bulb or piston syringe, any purpose | 48 | 47 | $472.73 |
| A4660 | Sphygmomanometer/blood pressure apparatus with cuff and stethoscope | 27 | 27 | $398.57 |
| L0625 | Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf | 12 | 12 | $375.35 |
| A4419 | Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each | 12 | 12 | $371.51 |
| A4618 | Breathing circuits | 133 | 124 | $368.11 |
| A4258 | Spring-powered device for lancet, each | 72 | 71 | $359.50 |
| A6199 | Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches | 13 | 13 | $350.33 |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 12 | 12 | $330.94 |
| T4541 | Incontinence product, disposable underpad, large, each | 12 | 12 | $321.36 |
| A4455 | Adhesive remover or solvent (for tape, cement or other adhesive), per ounce | 33 | 30 | $282.11 |
| A4333 | Urinary catheter anchoring device, adhesive skin attachment, each | 55 | 51 | $227.32 |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | 15 | 14 | $181.14 |
| A6266 | Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard | 12 | 12 | $171.28 |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | 13 | 13 | $150.33 |
| A6457 | Tubular dressing with or without elastic, any width, per linear yard | 14 | 14 | $148.73 |
| A6445 | Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard | 32 | 30 | $143.99 |
| E0960 | Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware | 13 | 13 | $120.43 |
| A7006 | Administration set, with small volume filtered pneumatic nebulizer | 25 | 24 | $111.54 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | 135 | 133 | $16.47 |
| A4615 | Cannula, nasal | 15 | 15 | $8.10 |
| K0733 | Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | 29 | 29 | $5.30 |