| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
5,644 |
3,644 |
$9.59M |
| G0299 |
Hhs/hospice of rn ea 15 min |
47,006 |
8,721 |
$6.72M |
| G0159 |
Hhc pt maint ea 15 min |
36,989 |
7,497 |
$5.14M |
| S9123 |
Nursing care in home rn |
16,115 |
3,787 |
$2.40M |
| G0160 |
Hhc occup therapy ea 15 |
14,122 |
3,326 |
$1.90M |
| E1390 |
Oxygen concentrator |
13,275 |
11,119 |
$1.72M |
| S9131 |
Pt in the home per diem |
9,371 |
2,227 |
$1.45M |
| 99601 |
|
8,180 |
2,848 |
$1.04M |
| A9277 |
External transmitter, cgm |
3,640 |
3,020 |
$1.04M |
| A9278 |
External receiver, cgm sys |
847 |
513 |
$933K |
| B9998 |
Enteral supp not otherwise c |
1,445 |
787 |
$932K |
| E0601 |
Cont airway pressure device |
1,923 |
1,464 |
$916K |
| A7030 |
Cpap full face mask |
5,308 |
3,945 |
$583K |
| E0466 |
Home vent non-invasive inter |
475 |
343 |
$513K |
| S9129 |
Occupational therapy, in the |
3,567 |
1,002 |
$511K |
| 99602 |
Nursing care in home rn |
2,565 |
1,119 |
$501K |
| B4035 |
Enteral feed supp pump per d |
2,609 |
1,058 |
$477K |
| A7031 |
Replacement facemask interfa |
9,987 |
7,185 |
$461K |
| B4161 |
Ef ped hydrolyzed/amino acid |
771 |
458 |
$381K |
| A7034 |
Nasal application device |
3,915 |
2,932 |
$321K |
| A6197 |
Alginate drsg >16 <=48 sq in |
623 |
430 |
$300K |
| A4452 |
Waterproof tape |
1,325 |
806 |
$286K |
| A6212 |
Foam drg <=16 sq in w/border |
938 |
499 |
$281K |
| E0562 |
Humidifier heated used w pap |
1,382 |
1,120 |
$259K |
| E0431 |
Portable gaseous 02 |
10,112 |
8,582 |
$246K |
| T4541 |
Large disposable underpad |
4,416 |
3,180 |
$231K |
| A7032 |
Replacement nasal cushion |
4,212 |
3,066 |
$213K |
| S9338 |
Hit immunotherapy diem |
1,792 |
929 |
$179K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
668 |
463 |
$176K |
| A7035 |
Pos airway press headgear |
5,251 |
3,929 |
$168K |
| A4604 |
Tubing with heating element |
3,608 |
2,611 |
$167K |
| T4535 |
Disposable liner/shield/pad |
3,178 |
2,148 |
$160K |
| T4527 |
Adult size pull-on lg |
1,536 |
1,117 |
$160K |
| E0570 |
Nebulizer with compression |
1,928 |
1,393 |
$152K |
| A7038 |
Pos airway pressure filter |
17,712 |
12,622 |
$139K |
| T4526 |
Adult size pull-on med |
1,146 |
756 |
$138K |
| A4385 |
Ost skn barrier sld ext wear |
553 |
396 |
$134K |
| A4927 |
Non-sterile gloves |
5,637 |
3,850 |
$128K |
| T4534 |
Youth size pull-on |
826 |
602 |
$117K |
| A7033 |
Replacement nasal pillows |
2,963 |
2,135 |
$107K |
| K0001 |
Standard wheelchair |
1,082 |
820 |
$105K |
| E0603 |
Electric breast pump |
1,504 |
1,002 |
$103K |
| T4528 |
Adult size pull-on xl |
1,119 |
824 |
$102K |
| A6446 |
Conform band s w>=3" <5"/yd |
1,470 |
1,105 |
$92K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
493 |
292 |
$83K |
| A4353 |
Intermittent urinary cath |
45 |
37 |
$71K |
| A7037 |
Pos airway pressure tubing |
3,179 |
2,386 |
$70K |
| A7046 |
Repl water chamber, pap dev |
4,291 |
3,231 |
$66K |
| A6196 |
Alginate dressing <=16 sq in |
248 |
184 |
$63K |
| A4413 |
2 pc drainable ost pouch |
76 |
37 |
$59K |
| A5120 |
Skin barrier, wipe or swab |
2,123 |
1,226 |
$56K |
| E0572 |
Aerosol compressor adjust pr |
214 |
179 |
$53K |
| E0143 |
Walker folding wheeled w/o s |
755 |
625 |
$46K |
| T4532 |
Ped size pull-on lg |
343 |
257 |
$45K |
| A4253 |
Blood glucose/reagent strips |
1,443 |
1,231 |
$42K |
| A6216 |
Non-sterile gauze<=16 sq in |
1,481 |
1,075 |
$40K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
64 |
39 |
$36K |
| A6402 |
Sterile gauze <= 16 sq in |
2,204 |
1,620 |
$33K |
| K0553 |
Ther cgm supply allowance |
157 |
97 |
$31K |
| K0738 |
Portable gas oxygen system |
734 |
563 |
$30K |
| E0260 |
Hosp bed semi-electr w/ matt |
95 |
89 |
$30K |
| A7005 |
Nondisposable nebulizer set |
1,370 |
1,144 |
$30K |
| A6021 |
Collagen dressing <=16 sq in |
40 |
38 |
$29K |
| A4456 |
Adhesive remover, wipes |
1,311 |
893 |
$26K |
| A4657 |
Syringe w/wo needle |
975 |
608 |
$25K |
| T4530 |
Ped size brief/diaper lg |
218 |
147 |
$22K |
| T4525 |
Adult size pull-on sm |
170 |
94 |
$18K |
| A7003 |
Nebulizer administration set |
1,812 |
1,327 |
$18K |
| A4245 |
Alcohol wipes per box |
859 |
554 |
$17K |
| B4088 |
Gastro/jejuno tube, low-pro |
153 |
114 |
$16K |
| A4606 |
Oxygen probe used w oximeter |
389 |
111 |
$16K |
| A7039 |
Filter, non disposable w pap |
1,894 |
1,431 |
$16K |
| A6260 |
Wound cleanser any type/size |
652 |
505 |
$14K |
| S9330 |
Hit cont chem diem |
66 |
36 |
$13K |
| K0195 |
Elevating whlchair leg rests |
384 |
287 |
$12K |
| A4450 |
Non-waterproof tape |
1,878 |
1,107 |
$11K |
| A4217 |
Sterile water/saline, 500 ml |
533 |
465 |
$11K |
| B4152 |
Ef calorie dense>/=1.5kcal |
38 |
12 |
$10K |
| A4394 |
Ostomy pouch liq deodorant |
257 |
193 |
$9K |
| E1399 |
Durable medical equipment mi |
34 |
28 |
$9K |
| A4281 |
Replacement breastpump tube |
134 |
68 |
$9K |
| E1392 |
Portable oxygen concentrator |
241 |
188 |
$9K |
| S9342 |
Hit enteral pump diem |
45 |
28 |
$7K |
| A4286 |
Replcmnt breastpump lok ring |
100 |
57 |
$7K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
15 |
15 |
$7K |
| A4283 |
Replacement breastpump cap |
101 |
68 |
$7K |
| A9900 |
Supply/accessory/service |
34 |
12 |
$6K |
| A4284 |
Replcmnt breast pump shield |
133 |
69 |
$6K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
53 |
13 |
$5K |
| A7526 |
Tracheostomy tube collar |
40 |
24 |
$5K |
| T4542 |
Small disposable underpad |
94 |
88 |
$4K |
| A6449 |
Lt compres band >=3" <5"/yd |
74 |
63 |
$4K |
| A4371 |
Skin barrier powder per oz |
611 |
437 |
$4K |
| E0971 |
Wheelchair anti-tipping devi |
69 |
42 |
$4K |
| A4282 |
Replacement breastpump adpt |
70 |
43 |
$4K |
| E2601 |
Gen w/c cushion wdth < 22 in |
85 |
58 |
$4K |
| A4256 |
Calibrator solution/chips |
1,069 |
924 |
$3K |
| A4259 |
Lancets per box |
1,364 |
1,175 |
$3K |
| A7013 |
Disposable compressor filter |
2,328 |
1,474 |
$3K |
| T4522 |
Adult size brief/diaper med |
42 |
24 |
$3K |
| A6250 |
Skin seal protect moisturizr |
601 |
346 |
$3K |
| E2611 |
Gen use back cush wdth <22in |
17 |
13 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,326 |
1,115 |
$3K |
| A4213 |
20+ cc syringe only |
194 |
95 |
$3K |
| J9190 |
Fluorouracil injection |
66 |
36 |
$3K |
| B9002 |
Enter nutr inf pump any type |
12 |
12 |
$2K |
| E0973 |
W/ch access det adj armrest |
22 |
14 |
$2K |
| T4537 |
Reusable underpad bed size |
725 |
447 |
$2K |
| A4362 |
Solid skin barrier |
29 |
26 |
$2K |
| A4406 |
Pectin based ostomy paste |
62 |
49 |
$2K |
| E0163 |
Commode chair with fixed arm |
27 |
26 |
$2K |
| A4425 |
Ost pch drain for barrier fl |
41 |
28 |
$2K |
| A5200 |
Percutaneous catheter anchor |
13 |
12 |
$1K |
| A4628 |
Oropharyngeal suction cath |
56 |
36 |
$871.34 |
| A4554 |
Disposable underpads |
24 |
12 |
$689.04 |
| A7002 |
Tubing used w suction pump |
65 |
37 |
$621.95 |
| E0961 |
Wheelchair brake extension |
13 |
12 |
$615.68 |
| A4357 |
Bedside drainage bag |
24 |
12 |
$498.12 |
| A6457 |
Tubular dressing |
20 |
12 |
$401.12 |
| A7000 |
Disposable canister for pump |
22 |
12 |
$351.58 |
| A4285 |
Replcmnt breast pump bottle |
60 |
43 |
$150.45 |
| A4216 |
Sterile water/saline, 10 ml |
32 |
14 |
$148.93 |
| A7036 |
Pos airway press chinstrap |
12 |
12 |
$140.69 |
| A6219 |
Gauze <= 16 sq in w/border |
23 |
13 |
$119.49 |