| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
230,436 |
187,554 |
$75.37M |
| E0784 |
Ext amb infusn pump insulin |
10,779 |
9,225 |
$32.68M |
| A4230 |
Infus insulin pump non needl |
244,901 |
213,154 |
$30.47M |
| E0603 |
Electric breast pump |
172,212 |
161,967 |
$20.86M |
| A9277 |
External transmitter, cgm |
58,680 |
48,398 |
$20.30M |
| K0553 |
Ther cgm supply allowance |
150,690 |
138,750 |
$19.05M |
| A9274 |
Ext amb insulin delivery sys |
32,881 |
28,080 |
$14.69M |
| A4353 |
Intermittent urinary cath |
27,263 |
21,466 |
$12.03M |
| A4239 |
Non-adju cgm supply allow |
90,009 |
79,639 |
$11.91M |
| A4351 |
Straight tip urine catheter |
77,324 |
62,558 |
$8.54M |
| A4385 |
Ost skn barrier sld ext wear |
136,729 |
118,228 |
$7.65M |
| T4541 |
Large disposable underpad |
254,080 |
213,471 |
$6.68M |
| T4526 |
Adult size pull-on med |
127,574 |
111,669 |
$6.20M |
| A4409 |
Ost skn barr convex <=4 sq i |
98,430 |
86,180 |
$6.19M |
| T4527 |
Adult size pull-on lg |
123,217 |
107,669 |
$5.81M |
| T4534 |
Youth size pull-on |
77,726 |
66,644 |
$5.57M |
| A4232 |
Syringe w/needle insulin 3cc |
141,076 |
123,176 |
$5.24M |
| A4407 |
Ext wear ost skn barr <=4sq" |
58,873 |
51,121 |
$4.87M |
| T4528 |
Adult size pull-on xl |
91,556 |
80,285 |
$4.64M |
| A4253 |
Blood glucose/reagent strips |
88,925 |
80,415 |
$4.33M |
| A9278 |
External receiver, cgm sys |
11,028 |
9,076 |
$4.25M |
| A4352 |
Coude tip urinary catheter |
11,532 |
9,557 |
$4.08M |
| A4225 |
Sup/ext insulin inf pump syr |
149,546 |
134,026 |
$3.99M |
| T4535 |
Disposable liner/shield/pad |
190,661 |
164,300 |
$3.71M |
| A4425 |
Ost pch drain for barrier fl |
88,356 |
76,999 |
$3.69M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
24,112 |
17,126 |
$3.32M |
| B4161 |
Ef ped hydrolyzed/amino acid |
8,701 |
6,564 |
$3.16M |
| A4231 |
Infusion insulin pump needle |
30,217 |
26,453 |
$2.87M |
| A4362 |
Solid skin barrier |
81,326 |
71,057 |
$2.85M |
| A7048 |
Vacuum drain bottle/tube kit |
6,318 |
4,261 |
$2.70M |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
49,826 |
43,447 |
$2.47M |
| A5057 |
1 pc ost pou w built-in conv |
21,320 |
17,974 |
$2.46M |
| A6212 |
Foam drg <=16 sq in w/border |
24,044 |
18,456 |
$2.24M |
| T4522 |
Adult size brief/diaper med |
47,856 |
40,408 |
$2.17M |
| T4523 |
Adult size brief/diaper lg |
39,528 |
33,032 |
$2.06M |
| A5063 |
Drain ostomy pouch w/flange |
67,772 |
59,463 |
$2.05M |
| A6197 |
Alginate drsg >16 <=48 sq in |
13,500 |
11,017 |
$1.97M |
| T4530 |
Ped size brief/diaper lg |
31,815 |
27,394 |
$1.86M |
| T4544 |
Adlt disp und/pull on abv xl |
31,255 |
27,050 |
$1.75M |
| A4554 |
Disposable underpads |
42,897 |
37,361 |
$1.73M |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
27,418 |
22,958 |
$1.72M |
| B4152 |
Ef calorie dense>/=1.5kcal |
24,629 |
16,158 |
$1.66M |
| T4543 |
Adult disp brief/diap abv xl |
19,258 |
15,812 |
$1.60M |
| A4520 |
Incontinence garment anytype |
32,585 |
25,993 |
$1.52M |
| B4150 |
Ef complet w/intact nutrient |
26,541 |
18,303 |
$1.52M |
| S9435 |
Medical foods for inborn err |
1,920 |
1,302 |
$1.38M |
| T4524 |
Adult size brief/diaper xl |
27,519 |
22,826 |
$1.30M |
| A4224 |
Supply insulin inf cath/wk |
24,944 |
21,006 |
$1.29M |
| A6253 |
Absorpt drg > 48 sq in w/o b |
9,068 |
7,280 |
$1.26M |
| A4670 |
Automatic bp monitor, dial |
24,890 |
23,784 |
$1.23M |
| K0554 |
Ther cgm receiver/monitor |
8,796 |
7,960 |
$1.22M |
| A4419 |
Ost pch for bar w flange/flt |
23,082 |
20,141 |
$1.21M |
| T4525 |
Adult size pull-on sm |
20,093 |
17,507 |
$1.14M |
| T4532 |
Ped size pull-on lg |
16,470 |
13,804 |
$1.14M |
| A5056 |
1 pc ost pouch w filter |
17,448 |
15,014 |
$1.11M |
| B4154 |
Ef spec metabolic noninherit |
10,030 |
7,200 |
$1.11M |
| A9286 |
Any hygienic item, device |
50,984 |
40,507 |
$1.09M |
| A6210 |
Foam drg >16<=48 sq in w/o b |
5,341 |
4,205 |
$1.09M |
| A4927 |
Non-sterile gloves |
287,273 |
253,482 |
$1.07M |
| B4157 |
Ef special metabolic inherit |
2,602 |
1,854 |
$1.05M |
| A4452 |
Waterproof tape |
60,938 |
50,007 |
$1.05M |
| A4424 |
Ost pch drain w bar & filter |
16,740 |
14,658 |
$1.03M |
| A5120 |
Skin barrier, wipe or swab |
165,011 |
143,398 |
$994K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
8,661 |
6,478 |
$985K |
| A4394 |
Ostomy pouch liq deodorant |
66,370 |
58,313 |
$930K |
| A4406 |
Pectin based ostomy paste |
71,234 |
63,239 |
$929K |
| T4537 |
Reusable underpad bed size |
38,376 |
33,941 |
$827K |
| A5121 |
Solid skin barrier 6x6 |
14,306 |
12,276 |
$822K |
| A6021 |
Collagen dressing <=16 sq in |
4,862 |
3,905 |
$797K |
| B4149 |
Ef blenderized foods |
4,195 |
2,528 |
$788K |
| A4388 |
Drainable pch w ex wear barr |
13,441 |
11,445 |
$738K |
| A4390 |
Drainable pch ex wear convex |
9,436 |
7,750 |
$737K |
| A5061 |
Pouch drainable w barrier at |
15,057 |
13,265 |
$736K |
| A4456 |
Adhesive remover, wipes |
103,785 |
91,303 |
$728K |
| A4432 |
Os pch urine w bar/fange/tap |
22,900 |
20,027 |
$711K |
| A4389 |
Drainable pch w st wear barr |
10,203 |
8,831 |
$699K |
| E2103 |
Non-adju cgm receiver/mon |
5,411 |
4,639 |
$670K |
| A4357 |
Bedside drainage bag |
69,273 |
57,825 |
$656K |
| A6250 |
Skin seal protect moisturizr |
28,754 |
21,499 |
$645K |
| A4373 |
Skin barrier with flange |
10,231 |
8,766 |
$596K |
| A4410 |
Ost skn barr extnd >4 sq |
6,480 |
5,575 |
$550K |
| A4216 |
Sterile water/saline, 10 ml |
25,540 |
21,636 |
$544K |
| A4215 |
Sterile needle |
11,639 |
10,650 |
$522K |
| A6196 |
Alginate dressing <=16 sq in |
6,180 |
4,984 |
$510K |
| A4349 |
Disposable male external cat |
18,189 |
14,629 |
$502K |
| L9900 |
O&p supply/accessory/service |
2,617 |
1,866 |
$489K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
5,848 |
4,734 |
$489K |
| B4162 |
Ef ped specmetabolic inherit |
1,356 |
1,107 |
$483K |
| T4542 |
Small disposable underpad |
36,524 |
31,875 |
$467K |
| A4427 |
Ost pch drain/barr lk flng/f |
14,777 |
12,894 |
$465K |
| B4158 |
Ef ped complete intact nut |
3,136 |
2,085 |
$457K |
| A6446 |
Conform band s w>=3" <5"/yd |
23,783 |
19,441 |
$448K |
| T4521 |
Adult size brief/diaper sm |
8,599 |
7,346 |
$428K |
| A6257 |
Transparent film <= 16 sq in |
13,842 |
12,167 |
$425K |
| A6258 |
Transparent film >16<=48 in |
8,121 |
6,837 |
$424K |
| A4238 |
Adju cgm supply allowance |
1,828 |
1,785 |
$382K |
| E1399 |
Durable medical equipment mi |
4,153 |
3,140 |
$378K |
| A4371 |
Skin barrier powder per oz |
74,895 |
66,740 |
$365K |
| A4430 |
Ost urine pch w b/bltin conv |
5,461 |
4,768 |
$359K |
| A6402 |
Sterile gauze <= 16 sq in |
48,927 |
39,275 |
$355K |
| A4416 |
Ost pch clsd w barrier/filtr |
4,947 |
4,198 |
$354K |
| B4035 |
Enteral feed supp pump per d |
2,402 |
1,981 |
$321K |
| A4623 |
Tracheostomy inner cannula |
2,818 |
2,107 |
$314K |
| T4533 |
Youth size brief/diaper |
5,812 |
4,921 |
$310K |
| A6211 |
Foam drg > 48 sq in w/o brdr |
993 |
741 |
$310K |
| A6216 |
Non-sterile gauze<=16 sq in |
50,730 |
37,705 |
$306K |
| A6266 |
Impreg gauze no h20/sal/yard |
8,046 |
6,672 |
$301K |
| A4332 |
Lube sterile packet |
14,770 |
12,285 |
$296K |
| A5054 |
Clsd ostomy pouch w/flange |
5,806 |
5,108 |
$296K |
| A4335 |
Incontinence supply |
142,497 |
124,682 |
$280K |
| A4259 |
Lancets per box |
50,238 |
46,299 |
$280K |
| B4155 |
Ef incomplete/modular |
2,807 |
2,279 |
$270K |
| A4354 |
Cath insertion tray w/bag |
1,966 |
1,445 |
$269K |
| A4367 |
Ostomy belt |
38,115 |
33,978 |
$262K |
| B4153 |
Ef hydrolyzed/amino acids |
865 |
581 |
$262K |
| A4649 |
Surgical supplies |
5,007 |
3,886 |
$254K |
| A4393 |
Urine pch w ex wear bar conv |
3,517 |
2,942 |
$252K |
| A6199 |
Alginate drsg wound filler |
2,478 |
2,015 |
$233K |
| A6449 |
Lt compres band >=3" <5"/yd |
6,782 |
5,628 |
$231K |
| A6530 |
Compression stocking bk18-30 |
4,117 |
3,270 |
$229K |
| A4428 |
Urine ost pouch w faucet/tap |
3,602 |
2,946 |
$228K |
| A7507 |
Integrated filter & holder |
3,952 |
3,005 |
$223K |
| A6022 |
Collagen drsg>16<=48 sq in |
1,228 |
976 |
$221K |
| A4411 |
Ost skn barr extnd =4sq |
4,178 |
3,458 |
$213K |
| A4358 |
Urinary leg or abdomen bag |
30,408 |
25,240 |
$207K |
| A4450 |
Non-waterproof tape |
31,765 |
26,765 |
$205K |
| A4408 |
Ext wear ost skn barr >4sq" |
2,209 |
1,830 |
$204K |
| A4344 |
Cath indw foley 2 way silicn |
7,665 |
5,885 |
$203K |
| E0570 |
Nebulizer with compression |
2,800 |
2,531 |
$191K |
| A4310 |
Insert tray w/o bag/cath |
20,546 |
16,429 |
$183K |
| A4338 |
Indwelling catheter latex |
18,778 |
15,070 |
$176K |
| A4206 |
1 cc sterile syringe&needle |
5,188 |
4,627 |
$176K |
| E2402 |
Neg press wound therapy pump |
276 |
243 |
$175K |
| A6154 |
Wound pouch each |
1,204 |
897 |
$174K |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
4,066 |
3,412 |
$171K |
| A6443 |
Conform band n/s w>=3"<5"/yd |
10,964 |
8,938 |
$171K |
| A4624 |
Tracheal suction tube |
2,307 |
1,814 |
$171K |
| A4245 |
Alcohol wipes per box |
30,563 |
27,712 |
$170K |
| A7520 |
Trach/laryn tube non-cuffed |
3,841 |
3,109 |
$161K |
| A4629 |
Tracheostomy care kit |
2,980 |
2,365 |
$160K |
| B9998 |
Enteral supp not otherwise c |
1,383 |
1,045 |
$159K |
| B4088 |
Gastro/jejuno tube, low-pro |
4,351 |
3,774 |
$159K |
| A4930 |
Sterile, gloves per pair |
5,981 |
5,038 |
$151K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
2,933 |
2,397 |
$151K |
| B4036 |
Enteral feed sup kit grav by |
2,978 |
2,563 |
$149K |
| A7508 |
Housing & integrated adhesiv |
2,187 |
1,665 |
$140K |
| A6454 |
Self-adher band w>=3" <5"/yd |
6,874 |
5,205 |
$139K |
| A4369 |
Skin barrier liquid per oz |
25,390 |
22,366 |
$137K |
| A6260 |
Wound cleanser any type/size |
16,172 |
13,661 |
$137K |
| A4423 |
Ost pch for bar w lk fl/fltr |
2,732 |
2,353 |
$135K |
| A7526 |
Tracheostomy tube collar |
4,869 |
4,039 |
$134K |
| A4413 |
2 pc drainable ost pouch |
2,785 |
2,323 |
$131K |
| A4322 |
Irrigation syringe |
8,923 |
7,196 |
$128K |
| A4415 |
Ost skn barr w/o conv >4 sqi |
2,412 |
2,123 |
$126K |
| B4100 |
Food thickener oral |
2,489 |
2,143 |
$126K |
| A6235 |
Hydrocolld drg >16<=48 w/o b |
826 |
669 |
$123K |
| A6198 |
Alginate dressing > 48 sq in |
355 |
281 |
$121K |
| A4412 |
Ost pouch drain high output |
3,609 |
3,226 |
$121K |
| A6248 |
Hydrogel drsg gel filler |
2,482 |
2,074 |
$120K |
| E0445 |
Oximeter non-invasive |
444 |
400 |
$116K |
| A4402 |
Lubricant per ounce |
22,674 |
19,874 |
$115K |
| A4417 |
Ost pch w bar/bltinconv/fltr |
1,220 |
963 |
$115K |
| A4392 |
Urinary pouch w st wear barr |
1,608 |
1,359 |
$113K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
3,742 |
3,077 |
$110K |
| A6219 |
Gauze <= 16 sq in w/border |
6,193 |
4,907 |
$103K |
| A6456 |
Zinc paste band w >=3"<5"/yd |
2,584 |
1,893 |
$102K |
| A4595 |
Tens suppl 2 lead per month |
5,606 |
4,095 |
$102K |
| A4396 |
Peristomal hernia supprt blt |
3,886 |
3,494 |
$97K |
| A4217 |
Sterile water/saline, 500 ml |
6,130 |
5,313 |
$97K |
| E0607 |
Blood glucose monitor home |
2,255 |
2,051 |
$89K |
| A4455 |
Adhesive remover per ounce |
31,009 |
27,418 |
$87K |
| A4247 |
Betadine/iodine swabs/wipes |
1,028 |
852 |
$87K |
| A4364 |
Adhesive, liquid or equal |
7,642 |
6,752 |
$86K |
| A5055 |
Stoma cap |
2,998 |
2,599 |
$79K |
| A4391 |
Urinary pouch w ex wear barr |
1,102 |
919 |
$77K |
| A4320 |
Irrigation tray |
5,287 |
4,387 |
$77K |
| A5073 |
Urinary pouch on barr w/flng |
2,531 |
2,188 |
$71K |
| A4340 |
Indwelling catheter special |
2,526 |
1,964 |
$68K |
| A6452 |
High compres band w>=3"<5"yd |
815 |
617 |
$65K |
| E0240 |
Bath/shower chair |
1,334 |
1,231 |
$65K |
| A6457 |
Tubular dressing |
3,391 |
2,647 |
$63K |
| A6240 |
Hydrocolld drg filler paste |
1,296 |
1,145 |
$61K |
| A6259 |
Transparent film > 48 sq in |
728 |
567 |
$60K |
| A4333 |
Urinary cath anchor device |
8,901 |
7,285 |
$59K |
| A4314 |
Cath w/drainage 2-way latex |
3,635 |
3,052 |
$57K |
| A4433 |
Urine ost pch bar w lock fln |
2,009 |
1,605 |
$57K |
| A6450 |
Lt compres band >=5"/yd |
1,710 |
1,438 |
$54K |
| A4553 |
Nondisp underpads, all sizes |
2,012 |
1,681 |
$53K |
| A6533 |
Gc stocking thighlngth 18-30 |
613 |
506 |
$50K |
| A6550 |
Neg pres wound ther drsg set |
268 |
220 |
$44K |
| B4102 |
Ef adult fluids and electro |
824 |
644 |
$42K |
| B4034 |
Enter feed supkit syr by day |
666 |
576 |
$42K |
| A4404 |
Ostomy ring each |
2,655 |
2,314 |
$42K |
| A4421 |
Ostomy supply misc |
3,194 |
2,629 |
$42K |
| A5071 |
Urinary pouch w/barrier |
669 |
596 |
$37K |
| A6549 |
Grad com garm noc day use |
567 |
401 |
$37K |
| A6203 |
Composite drsg <= 16 sq in |
720 |
570 |
$36K |
| A4405 |
Nonpectin based ostomy paste |
4,150 |
3,765 |
$35K |
| T4531 |
Ped size pull-on sm/med |
558 |
403 |
$30K |
| G0249 |
Provide inr test mater/equip |
300 |
260 |
$30K |
| A6218 |
Non-sterile gauze > 48 sq in |
1,392 |
1,184 |
$29K |
| T4540 |
Reusable underpad chair size |
3,026 |
2,503 |
$29K |
| A4426 |
Ost pch drain 2 piece system |
951 |
838 |
$29K |
| A4213 |
20+ cc syringe only |
1,490 |
1,241 |
$27K |
| A4250 |
Urine reagent strips/tablets |
1,314 |
1,170 |
$27K |
| A4363 |
Ostomy clamp, replacement |
3,337 |
2,926 |
$25K |
| A4252 |
Blood ketone test or strip |
118 |
106 |
$22K |
| S8490 |
100 insulin syringes |
622 |
580 |
$22K |
| A6445 |
Conform band s w <3"/yd |
1,472 |
1,221 |
$20K |
| A6531 |
Compress stking bk30-40 surg |
343 |
247 |
$20K |
| A4331 |
Extension drainage tubing |
5,574 |
4,490 |
$20K |
| A6207 |
Contact layer >16<= 48 sq in |
308 |
246 |
$20K |
| A7000 |
Disposable canister for pump |
832 |
697 |
$20K |
| A6539 |
Gc stocking waistlngth 18-30 |
204 |
167 |
$20K |
| A6441 |
Pad band w>=3" <5"/yd |
1,336 |
989 |
$18K |
| A5131 |
Appliance cleaner |
2,967 |
2,422 |
$18K |
| A7035 |
Pos airway press headgear |
1,226 |
1,029 |
$17K |
| A6254 |
Absorpt drg <=16 sq in w/bdr |
654 |
556 |
$17K |
| A7030 |
Cpap full face mask |
236 |
206 |
$16K |
| E0100 |
Cane adjust/fixed with tip |
1,273 |
1,197 |
$16K |
| A6407 |
Packing strips, non-impreg |
874 |
701 |
$14K |
| A4422 |
Ost pouch absorbent material |
1,475 |
1,231 |
$12K |
| A4398 |
Ostomy irrigation bag |
1,210 |
1,063 |
$11K |
| A4366 |
Ostomy vent |
1,119 |
977 |
$10K |
| A6403 |
Sterile gauze>16 <= 48 sq in |
590 |
526 |
$9K |
| A4334 |
Urinary cath leg strap |
3,364 |
2,896 |
$9K |
| A4399 |
Ostomy irrig cone/cath w brs |
1,204 |
1,054 |
$9K |
| A7037 |
Pos airway pressure tubing |
692 |
611 |
$9K |
| A4311 |
Catheter w/o bag 2-way latex |
930 |
797 |
$9K |
| E0604 |
Hosp grade elec breast pump |
55 |
54 |
$8K |
| L3908 |
Who cock-up nonmolde pre ots |
241 |
175 |
$7K |
| A9270 |
Non-covered item or service |
812 |
554 |
$7K |
| A4315 |
Cath w/drainage 2-way silcne |
415 |
327 |
$7K |
| A7034 |
Nasal application device |
176 |
152 |
$7K |
| E0163 |
Commode chair with fixed arm |
172 |
150 |
$7K |
| A4256 |
Calibrator solution/chips |
1,593 |
1,462 |
$7K |
| E0190 |
Positioning cushion |
352 |
294 |
$7K |
| A5062 |
Drnble ostomy pouch w/o barr |
148 |
125 |
$6K |
| A4246 |
Betadine/phisohex solution |
885 |
797 |
$6K |
| A5102 |
Bedside drain btl w/wo tube |
741 |
569 |
$6K |
| A4614 |
Hand-held pefr meter |
342 |
295 |
$5K |
| A9900 |
Supply/accessory/service |
400 |
268 |
$5K |
| E0730 |
Tens four lead |
54 |
49 |
$5K |
| A4258 |
Lancet device each |
642 |
593 |
$5K |
| L0625 |
Lo flex l1-below l5 pre ots |
154 |
141 |
$4K |
| A7003 |
Nebulizer administration set |
1,403 |
1,299 |
$4K |
| E0105 |
Cane adjust/fixed quad/3 pro |
115 |
115 |
$3K |
| E0720 |
Tens two lead |
93 |
68 |
$3K |
| E0248 |
Hdtrans bench w/wo comm open |
27 |
26 |
$3K |
| A7038 |
Pos airway pressure filter |
1,118 |
855 |
$3K |
| E0667 |
Seg pneumatic appl full leg |
12 |
12 |
$3K |
| E0245 |
Tub stool or bench |
93 |
91 |
$3K |
| E0325 |
Urinal male jug-type |
1,035 |
898 |
$3K |
| T4529 |
Ped size brief/diaper sm/med |
62 |
52 |
$3K |
| E0244 |
Toilet seat raised |
103 |
101 |
$3K |
| A5114 |
Foam/fabric leg strap |
609 |
476 |
$3K |
| A4397 |
Irrigation supply sleeve |
172 |
153 |
$2K |
| A4660 |
Sphyg/bp app w cuff and stet |
83 |
81 |
$2K |
| K0603 |
Repl batt alkaline 1.5 v |
1,580 |
1,258 |
$2K |
| A6206 |
Contact layer <= 16 sq in |
60 |
46 |
$2K |
| E1639 |
Scale, each |
70 |
67 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,271 |
1,186 |
$2K |
| E0215 |
Electric heat pad moist |
61 |
55 |
$2K |
| A6220 |
Gauze >16 <=48 sq in w/bordr |
30 |
26 |
$2K |
| A4244 |
Alcohol or peroxide per pint |
151 |
111 |
$2K |
| A4235 |
Lithium batt for glucose mon |
500 |
474 |
$2K |
| A6413 |
Adhesive bandage, first-aid |
133 |
89 |
$2K |
| A5200 |
Percutaneous catheter anchor |
27 |
25 |
$2K |
| L0641 |
Lo rig pos pnl l1-l5 pre ots |
29 |
29 |
$2K |
| L1810 |
Ko elastic with joints |
22 |
17 |
$1K |
| K1005 |
Disp col sto bag breast milk |
79 |
71 |
$1K |
| A7005 |
Nondisposable nebulizer set |
91 |
83 |
$1K |
| A4287 |
Disp col sto bag breast milk |
32 |
26 |
$1K |
| A4628 |
Oropharyngeal suction cath |
45 |
37 |
$876.68 |
| A4602 |
Replace lithium battery 1.5v |
57 |
53 |
$629.88 |
| A4233 |
Alkalin batt for glucose mon |
318 |
277 |
$532.88 |
| A4221 |
Supp non-insulin inf cath/wk |
18 |
17 |
$450.92 |
| A7013 |
Disposable compressor filter |
28 |
27 |
$323.06 |
| A4604 |
Tubing with heating element |
13 |
12 |
$316.86 |
| A6251 |
Absorpt drg <=16 sq in w/o b |
15 |
13 |
$313.96 |
| E0135 |
Walker folding adjust/fixed |
13 |
12 |
$250.14 |
| A6442 |
Conform band n/s w<3"/yd |
35 |
26 |
$115.93 |
| T4536 |
Reusable pull-on any size |
30 |
24 |
$101.53 |