NPI: 1649244138 · BEAVER, PA 15009 · Customized Equipment (DME) · NPI assigned 02/14/2006
Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more
| Authorized Official | RUSSALESI, WENDY (CCO) |
| Parent Organization | ADAPTHEALTH PATIENT CARE SOLUTIONS LLC |
| NPI Enumeration Date | 02/14/2006 |
Other providers sharing the same authorized official: RUSSALESI, WENDY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 184,101 | $5.80M |
| 2019 | 183,782 | $6.94M |
| 2020 | 240,745 | $10.97M |
| 2021 | 311,549 | $14.87M |
| 2022 | 346,170 | $19.25M |
| 2023 | 344,389 | $20.39M |
| 2024 | 267,138 | $15.35M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A6211 | Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing | 7,131 | 5,107 | $9.14M |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 27,409 | 21,682 | $6.74M |
| 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 | 9,840 | 7,103 | $6.15M |
| A4554 | Disposable underpads, all sizes | 81,670 | 79,538 | $4.67M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 37,629 | 34,026 | $4.55M |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 43,936 | 37,858 | $4.39M |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 38,820 | 30,928 | $3.54M |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 44,445 | 42,854 | $3.43M |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 30,515 | 22,500 | $3.37M |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 43,783 | 41,950 | $2.52M |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 6,720 | 5,349 | $2.26M |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 25,831 | 24,901 | $2.18M |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 29,147 | 22,137 | $2.16M |
| 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 | 21,072 | 15,671 | $2.14M |
| A4353 | Intermittent urinary catheter, with insertion supplies | 7,279 | 5,278 | $2.12M |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | 35,080 | 27,756 | $1.46M |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 59,979 | 57,880 | $1.39M |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 6,740 | 6,529 | $1.12M |
| E0784 | External ambulatory infusion pump, insulin | 1,500 | 1,063 | $1.11M |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | 32,777 | 25,835 | $1.08M |
| A6207 | Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 4,160 | 3,066 | $1.06M |
| 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 | 29,360 | 23,331 | $1.02M |
| A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | 4,014 | 3,175 | $1.01M |
| A6253 | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing | 11,240 | 8,861 | $946K |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each | 17,198 | 13,705 | $865K |
| A6021 | Collagen dressing, sterile, size 16 sq. in. or less, each | 9,076 | 7,160 | $838K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | 46,533 | 36,199 | $813K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 8,917 | 6,756 | $763K |
| A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each | 4,122 | 3,096 | $746K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | 29,342 | 23,010 | $739K |
| A6196 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing | 12,672 | 9,945 | $699K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | 21,285 | 16,970 | $661K |
| A9278 | Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 2,394 | 1,945 | $656K |
| A4927 | Gloves, non-sterile, per 100 | 120,082 | 111,874 | $573K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 75,276 | 58,968 | $569K |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 5,817 | 4,447 | $545K |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 8,488 | 6,449 | $516K |
| 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 | 5,518 | 4,154 | $501K |
| 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 | 9,493 | 7,391 | $492K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | 26,343 | 21,194 | $480K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 8,165 | 6,928 | $474K |
| A4452 | Tape, waterproof, per 18 square inches | 40,741 | 31,690 | $440K |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | 20,010 | 15,998 | $435K |
| T4541 | Incontinence product, disposable underpad, large, each | 17,531 | 15,161 | $433K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | 4,490 | 3,378 | $403K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 6,949 | 5,932 | $360K |
| A6457 | Tubular dressing with or without elastic, any width, per linear yard | 8,614 | 5,879 | $335K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 4,959 | 4,113 | $326K |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | 3,774 | 3,118 | $306K |
| A4424 | Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each | 8,359 | 6,359 | $290K |
| T4540 | Incontinence product, protective underpad, reusable, chair size, each | 19,275 | 19,002 | $260K |
| A5121 | Skin barrier; solid, 6 x 6 or equivalent, each | 6,411 | 5,131 | $256K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 3,825 | 3,482 | $255K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | 5,211 | 4,940 | $248K |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | 22,357 | 17,709 | $232K |
| A4432 | Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each | 9,887 | 7,684 | $231K |
| A4419 | Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each | 8,520 | 6,774 | $230K |
| A4373 | Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each | 4,813 | 3,966 | $230K |
| A5120 | Skin barrier, wipes or swabs, each | 56,191 | 44,588 | $228K |
| A6266 | Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard | 4,363 | 3,516 | $226K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | 26,830 | 20,850 | $221K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 4,733 | 3,917 | $221K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | 59,377 | 46,514 | $221K |
| A4456 | Adhesive remover, wipes, any type, each | 36,257 | 28,926 | $220K |
| A5057 | Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each | 2,868 | 2,330 | $206K |
| A4389 | Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each | 4,360 | 3,416 | $183K |
| A4450 | Tape, non-waterproof, per 18 square inches | 30,724 | 24,547 | $183K |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 8,629 | 6,785 | $177K |
| A5061 | Ostomy pouch, drainable; with barrier attached, (1 piece), each | 6,963 | 5,830 | $173K |
| A4349 | Male external catheter, with or without adhesive, disposable, each | 8,573 | 6,551 | $165K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 19,416 | 15,723 | $163K |
| A4314 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | 30,738 | 23,954 | $159K |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 13,032 | 10,065 | $146K |
| A6452 | High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard | 3,203 | 2,063 | $143K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 2,266 | 2,006 | $138K |
| A4335 | Incontinence supply; miscellaneous | 3,790 | 3,156 | $137K |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | 4,368 | 3,964 | $130K |
| A6199 | Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches | 3,219 | 2,551 | $129K |
| A6445 | Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard | 3,953 | 3,143 | $120K |
| A4388 | Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each | 4,540 | 3,318 | $119K |
| A4623 | Tracheostomy, inner cannula | 5,218 | 4,086 | $119K |
| A6022 | Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each | 743 | 615 | $116K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 4,925 | 3,705 | $107K |
| A4390 | Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each | 2,182 | 1,707 | $104K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 5,875 | 5,591 | $102K |
| A5056 | Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each | 2,989 | 2,399 | $101K |
| A4427 | Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each | 3,822 | 3,164 | $98K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 1,227 | 1,056 | $95K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 13,181 | 10,610 | $94K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | 22,127 | 16,983 | $92K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 1,901 | 1,673 | $91K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 1,168 | 966 | $90K |
| A4430 | Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each | 2,436 | 1,858 | $85K |
| A4371 | Ostomy skin barrier, powder, per oz | 23,560 | 18,926 | $84K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 1,936 | 1,843 | $82K |
| A4416 | Ostomy pouch, closed, with barrier attached, with filter (1 piece), each | 2,210 | 1,626 | $81K |
| A6454 | Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard | 8,635 | 6,263 | $73K |
| A4217 | Sterile water/saline, 500 ml | 8,829 | 7,114 | $73K |
| A6220 | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | 2,052 | 1,548 | $73K |
| A5054 | Ostomy pouch, closed; for use on barrier with flange (2 piece), each | 2,847 | 2,323 | $71K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 2,365 | 2,113 | $70K |
| A6248 | Hydrogel dressing, wound filler, gel, per fluid ounce | 2,404 | 1,952 | $66K |
| A6260 | Wound cleansers, any type, any size | 6,659 | 5,529 | $64K |
| A6443 | Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard | 4,682 | 3,804 | $64K |
| A4428 | Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each | 1,526 | 1,242 | $64K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 2,579 | 1,922 | $64K |
| A4410 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each | 1,360 | 1,051 | $64K |
| A6456 | Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 4,405 | 2,981 | $63K |
| A4629 | Tracheostomy care kit for established tracheostomy | 4,847 | 3,867 | $59K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 1,528 | 1,440 | $58K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 734 | 672 | $57K |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | 2,341 | 1,887 | $57K |
| L3675 | Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf | 712 | 640 | $50K |
| A6198 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing | 217 | 172 | $49K |
| A6203 | Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 1,777 | 1,364 | $48K |
| A4367 | Ostomy belt, each | 11,170 | 9,088 | $46K |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | 3,066 | 2,276 | $46K |
| A4315 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone | 4,252 | 3,288 | $41K |
| A4412 | Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each | 1,458 | 1,149 | $41K |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 409 | 357 | $40K |
| K0552 | Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each | 1,484 | 596 | $39K |
| A4415 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each | 1,602 | 1,315 | $39K |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 2,300 | 1,998 | $38K |
| A4322 | Irrigation syringe, bulb or piston, each | 3,904 | 2,876 | $37K |
| A4402 | Lubricant, per ounce | 8,629 | 6,760 | $36K |
| A4332 | Lubricant, individual sterile packet, each | 5,693 | 4,315 | $33K |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | 8,293 | 6,338 | $31K |
| 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 | 1,987 | 1,582 | $30K |
| A4354 | Insertion tray with drainage bag but without catheter | 2,223 | 1,718 | $30K |
| A6240 | Hydrocolloid dressing, wound filler, paste, sterile, per ounce | 1,575 | 1,346 | $29K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | 289 | 242 | $29K |
| A4413 | Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each | 679 | 503 | $28K |
| A4333 | Urinary catheter anchoring device, adhesive skin attachment, each | 12,939 | 9,951 | $25K |
| L3674 | Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment | 361 | 266 | $23K |
| L3808 | Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment | 242 | 203 | $23K |
| A4231 | Infusion set for external insulin pump, needle type | 412 | 379 | $23K |
| A4392 | Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each | 412 | 358 | $21K |
| A6450 | Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard | 1,206 | 1,006 | $21K |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | 2,359 | 1,715 | $20K |
| A7526 | Tracheostomy tube collar/holder, each | 4,305 | 3,455 | $19K |
| A6441 | Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard | 4,071 | 2,870 | $19K |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | 435 | 414 | $19K |
| A4320 | Irrigation tray with bulb or piston syringe, any purpose | 1,829 | 1,465 | $18K |
| A6447 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard | 357 | 299 | $18K |
| A4411 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each | 824 | 600 | $18K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | 376 | 317 | $17K |
| A4215 | Needle, sterile, any size, each | 878 | 721 | $17K |
| L3257 | Orthopedic footwear, additional charge for split size | 850 | 825 | $17K |
| A4423 | Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each | 317 | 255 | $17K |
| A4245 | Alcohol wipes, per box | 2,168 | 1,932 | $16K |
| A4455 | Adhesive remover or solvent (for tape, cement or other adhesive), per ounce | 4,569 | 3,685 | $16K |
| A7030 | Full face mask used with positive airway pressure device, each | 213 | 196 | $15K |
| A4311 | Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | 3,647 | 2,797 | $15K |
| A4405 | Ostomy skin barrier, non-pectin based, paste, per ounce | 3,090 | 2,538 | $15K |
| A4310 | Insertion tray without drainage bag and without catheter (accessories only) | 4,535 | 3,539 | $13K |
| A4649 | Surgical supply; miscellaneous | 437 | 313 | $13K |
| A4369 | Ostomy skin barrier, liquid (spray, brush, etc.), per oz | 4,169 | 3,320 | $13K |
| A4259 | Lancets, per box of 100 | 3,455 | 2,680 | $13K |
| A6407 | Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard | 1,053 | 849 | $13K |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | 788 | 634 | $13K |
| L3260 | Surgical boot/shoe, each | 1,260 | 1,087 | $11K |
| A4670 | Automatic blood pressure monitor | 275 | 249 | $10K |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | 322 | 274 | $9K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 148 | 138 | $9K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | 197 | 193 | $9K |
| A4247 | Betadine or iodine swabs/wipes, per box | 473 | 384 | $9K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 486 | 407 | $8K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 98 | 93 | $8K |
| A7031 | Face mask interface, replacement for full face mask, each | 237 | 216 | $7K |
| A5071 | Ostomy pouch, urinary; with barrier attached (1 piece), each | 161 | 98 | $7K |
| A4364 | Adhesive, liquid or equal, any type, per oz | 1,997 | 1,538 | $6K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 298 | 238 | $6K |
| A4334 | Urinary catheter anchoring device, leg strap, each | 3,940 | 2,967 | $6K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | 414 | 223 | $5K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 153 | 113 | $5K |
| A6154 | Wound pouch, each | 69 | 51 | $5K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | 470 | 343 | $4K |
| A4312 | Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone | 758 | 558 | $4K |
| A6235 | Hydrocolloid 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 | 66 | 55 | $4K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 87 | 81 | $4K |
| A7037 | Tubing used with positive airway pressure device | 201 | 190 | $3K |
| A7035 | Headgear used with positive airway pressure device | 155 | 143 | $3K |
| A4340 | Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each | 421 | 331 | $2K |
| A6242 | Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 134 | 94 | $2K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 85 | 73 | $2K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | 437 | 437 | $2K |
| A4256 | Normal, low and high calibrator solution / chips | 728 | 570 | $2K |
| A4565 | Slings | 394 | 375 | $2K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 53 | 47 | $1K |
| A7038 | Filter, disposable, used with positive airway pressure device | 454 | 385 | $1K |
| A4331 | Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each | 928 | 722 | $1K |
| A4417 | Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each | 41 | 24 | $894.12 |
| A6453 | Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard | 81 | 66 | $803.15 |
| A4399 | Ostomy irrigation supply; cone/catheter, with or without brush | 138 | 102 | $768.15 |
| A4398 | Ostomy irrigation supply; bag, each | 106 | 76 | $747.49 |
| A4258 | Spring-powered device for lancet, each | 464 | 349 | $730.74 |
| A6237 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 48 | 39 | $714.24 |
| E0607 | Home blood glucose monitor | 22 | 18 | $600.00 |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | 217 | 154 | $581.07 |
| A6214 | Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing | 21 | 16 | $576.59 |
| A4570 | Splint | 92 | 91 | $486.30 |
| A4393 | Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each | 15 | 13 | $423.18 |
| A6231 | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing | 31 | 24 | $401.22 |
| A4433 | Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each | 17 | 12 | $384.05 |
| E0602 | Breast pump, manual, any type | 12 | 12 | $344.22 |
| A4396 | Ostomy belt with peristomal hernia support | 18 | 12 | $338.15 |
| A5114 | Leg strap; foam or fabric, replacement only, per set | 205 | 150 | $287.43 |
| A4246 | Betadine or phisohex solution, per pint | 30 | 26 | $235.39 |
| A7039 | Filter, non disposable, used with positive airway pressure device | 32 | 28 | $210.28 |
| A4213 | Syringe, sterile, 20 cc or greater, each | 17 | 14 | $91.50 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 127 | 117 | $60.07 |
| A4363 | Ostomy clamp, any type, replacement only, each | 15 | 12 | $55.05 |