| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
77,194 |
68,599 |
$4.21M |
| E0601 |
Cont airway pressure device |
24,790 |
22,331 |
$1.06M |
| E0431 |
Portable gaseous 02 |
47,094 |
41,767 |
$926K |
| T4535 |
Disposable liner/shield/pad |
15,276 |
14,382 |
$827K |
| T4527 |
Adult size pull-on lg |
7,382 |
6,915 |
$770K |
| E0470 |
Rad w/o backup non-inv intfc |
7,340 |
6,475 |
$769K |
| T4542 |
Small disposable underpad |
20,210 |
19,274 |
$706K |
| T4526 |
Adult size pull-on med |
7,231 |
6,761 |
$668K |
| E0570 |
Nebulizer with compression |
16,294 |
13,953 |
$627K |
| T4528 |
Adult size pull-on xl |
5,170 |
4,815 |
$592K |
| A7030 |
Cpap full face mask |
9,841 |
8,741 |
$583K |
| T4543 |
Adult disp brief/diap abv xl |
2,468 |
2,235 |
$566K |
| E0465 |
Home vent invasive interface |
1,617 |
973 |
$564K |
| B4150 |
Ef complet w/intact nutrient |
6,776 |
5,218 |
$499K |
| E0562 |
Humidifier heated used w pap |
13,319 |
11,176 |
$474K |
| A4604 |
Tubing with heating element |
11,085 |
9,727 |
$309K |
| E0445 |
Oximeter non-invasive |
2,188 |
1,815 |
$307K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,406 |
6,485 |
$301K |
| K0001 |
Standard wheelchair |
9,540 |
8,181 |
$265K |
| A6197 |
Alginate drsg >16 <=48 sq in |
1,669 |
1,366 |
$262K |
| E0471 |
Rad w/backup non inv intrfc |
1,511 |
1,235 |
$259K |
| A7034 |
Nasal application device |
6,453 |
5,731 |
$233K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,895 |
1,563 |
$225K |
| A7035 |
Pos airway press headgear |
11,988 |
10,709 |
$221K |
| E0730 |
Tens four lead |
2,704 |
2,008 |
$202K |
| B4035 |
Enteral feed supp pump per d |
1,958 |
1,270 |
$194K |
| A7031 |
Replacement facemask interfa |
7,765 |
6,618 |
$190K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,783 |
1,321 |
$187K |
| E0466 |
Home vent non-invasive inter |
515 |
405 |
$170K |
| T4525 |
Adult size pull-on sm |
1,721 |
1,580 |
$150K |
| A4670 |
Automatic bp monitor, dial |
3,637 |
3,467 |
$135K |
| T4534 |
Youth size pull-on |
1,608 |
1,458 |
$134K |
| A4624 |
Tracheal suction tube |
1,877 |
1,381 |
$130K |
| A4520 |
Incontinence garment anytype |
1,800 |
1,319 |
$125K |
| B4034 |
Enter feed supkit syr by day |
895 |
613 |
$114K |
| T4533 |
Youth size brief/diaper |
1,221 |
1,107 |
$103K |
| A7005 |
Nondisposable nebulizer set |
8,266 |
7,522 |
$102K |
| L3908 |
Who cock-up nonmolde pre ots |
2,582 |
2,105 |
$88K |
| E0143 |
Walker folding wheeled w/o s |
2,906 |
2,648 |
$88K |
| T4523 |
Adult size brief/diaper lg |
719 |
684 |
$83K |
| E1392 |
Portable oxygen concentrator |
2,630 |
2,357 |
$79K |
| A7037 |
Pos airway pressure tubing |
5,366 |
4,834 |
$79K |
| A4927 |
Non-sterile gloves |
6,006 |
5,536 |
$75K |
| T4522 |
Adult size brief/diaper med |
803 |
705 |
$74K |
| E0603 |
Electric breast pump |
562 |
531 |
$73K |
| B9998 |
Enteral supp not otherwise c |
2,170 |
1,179 |
$69K |
| A6212 |
Foam drg <=16 sq in w/border |
887 |
694 |
$68K |
| L3670 |
So acro/clav can web pre ots |
1,595 |
1,456 |
$67K |
| A7038 |
Pos airway pressure filter |
22,487 |
18,914 |
$62K |
| A4595 |
Tens suppl 2 lead per month |
3,420 |
3,243 |
$62K |
| A6446 |
Conform band s w>=3" <5"/yd |
2,752 |
2,242 |
$59K |
| A7032 |
Replacement nasal cushion |
2,887 |
2,486 |
$58K |
| E0114 |
Crutch underarm pair no wood |
2,729 |
2,552 |
$55K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
1,024 |
858 |
$53K |
| B4154 |
Ef spec metabolic noninherit |
338 |
235 |
$52K |
| E0245 |
Tub stool or bench |
1,506 |
1,420 |
$48K |
| A6402 |
Sterile gauze <= 16 sq in |
4,432 |
3,664 |
$48K |
| E0971 |
Wheelchair anti-tipping devi |
13,911 |
6,089 |
$47K |
| K0007 |
Extra heavy duty wheelchair |
528 |
445 |
$42K |
| A4217 |
Sterile water/saline, 500 ml |
1,673 |
1,228 |
$40K |
| A5500 |
Diab shoe for density insert |
1,086 |
667 |
$40K |
| E0149 |
Heavy duty wheeled walker |
1,195 |
999 |
$39K |
| E0619 |
Apnea monitor w recorder |
210 |
201 |
$39K |
| A6196 |
Alginate dressing <=16 sq in |
452 |
381 |
$38K |
| A7033 |
Replacement nasal pillows |
1,887 |
1,571 |
$38K |
| A7526 |
Tracheostomy tube collar |
1,632 |
1,243 |
$38K |
| E0163 |
Commode chair with fixed arm |
1,322 |
1,156 |
$35K |
| A4351 |
Straight tip urine catheter |
430 |
367 |
$35K |
| A4629 |
Tracheostomy care kit |
743 |
596 |
$33K |
| L4350 |
Ankle control ortho pre ots |
699 |
673 |
$31K |
| A4606 |
Oxygen probe used w oximeter |
1,727 |
1,004 |
$31K |
| A4452 |
Waterproof tape |
1,127 |
977 |
$28K |
| E0600 |
Suction pump portab hom modl |
508 |
443 |
$24K |
| A7000 |
Disposable canister for pump |
2,078 |
1,544 |
$23K |
| E0978 |
W/c acc,saf belt pelv strap |
1,299 |
1,107 |
$22K |
| E0303 |
Hosp bed hvy dty xtra wide |
229 |
192 |
$22K |
| A6530 |
Compression stocking bk18-30 |
543 |
345 |
$21K |
| E0156 |
Walker seat attachment |
2,181 |
1,964 |
$18K |
| A5512 |
Multi den insert direct form |
1,078 |
642 |
$18K |
| L1820 |
Ko elas w/ condyle pads & jo |
267 |
244 |
$18K |
| A7002 |
Tubing used w suction pump |
2,773 |
1,904 |
$16K |
| T4537 |
Reusable underpad bed size |
177 |
146 |
$15K |
| E0630 |
Patient lift hydraulic |
379 |
319 |
$14K |
| A4450 |
Non-waterproof tape |
1,910 |
1,615 |
$11K |
| A4554 |
Disposable underpads |
531 |
397 |
$10K |
| A7509 |
Heat & moisture exchange sys |
290 |
207 |
$9K |
| A4628 |
Oropharyngeal suction cath |
1,937 |
1,355 |
$9K |
| E0439 |
Stationary liquid 02 |
115 |
98 |
$8K |
| A7003 |
Nebulizer administration set |
8,340 |
7,276 |
$8K |
| L1830 |
Ko immob canvas long pre ots |
212 |
203 |
$8K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
35 |
25 |
$7K |
| T4524 |
Adult size brief/diaper xl |
46 |
42 |
$5K |
| A7046 |
Repl water chamber, pap dev |
1,445 |
1,111 |
$5K |
| E0951 |
Loop heel |
465 |
303 |
$4K |
| L3260 |
Ambulatory surgical boot eac |
547 |
467 |
$4K |
| L3807 |
Whfo w/o joints pre cst |
37 |
37 |
$4K |
| A7015 |
Aerosol mask used w nebulize |
2,361 |
2,121 |
$3K |
| L4386 |
Non-pneum walk boot pre cst |
29 |
26 |
$2K |
| B9002 |
Enter nutr inf pump any type |
44 |
38 |
$2K |
| L4360 |
Pneumat walking boot pre cst |
16 |
16 |
$2K |
| A7036 |
Pos airway press chinstrap |
208 |
186 |
$2K |
| A6216 |
Non-sterile gauze<=16 sq in |
359 |
277 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
202 |
169 |
$2K |
| A7013 |
Disposable compressor filter |
2,581 |
1,946 |
$1K |
| E0434 |
Portable liquid 02 |
51 |
48 |
$1K |
| E0443 |
Portable 02 contents, gas |
66 |
61 |
$958.76 |
| K0003 |
Lightweight wheelchair |
43 |
36 |
$925.12 |
| A7039 |
Filter, non disposable w pap |
140 |
129 |
$762.20 |
| L0628 |
Lso flex no ri stays pre ots |
17 |
15 |
$756.99 |
| E0105 |
Cane adjust/fixed quad/3 pro |
27 |
27 |
$724.07 |
| E0247 |
Trans bench w/wo comm open |
12 |
12 |
$597.00 |
| A7525 |
Tracheostomy mask |
581 |
347 |
$541.81 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
13 |
12 |
$414.40 |
| E0100 |
Cane adjust/fixed with tip |
62 |
55 |
$412.69 |
| A4253 |
Blood glucose/reagent strips |
98 |
82 |
$378.55 |
| E1399 |
Durable medical equipment mi |
96 |
66 |
$330.68 |
| E0241 |
Bath tub wall rail |
14 |
14 |
$292.80 |
| K0195 |
Elevating whlchair leg rests |
45 |
36 |
$207.51 |
| L0120 |
Cerv flex n/adj foam pre ots |
12 |
12 |
$99.39 |
| A7012 |
Nebulizer water collec devic |
32 |
24 |
$62.94 |
| K0052 |
Swingaway detach ftrest repl |
51 |
38 |
$42.00 |
| A4402 |
Lubricant per ounce |
13 |
13 |
$25.10 |
| E1353 |
Oxygen supplies regulator |
101 |
63 |
$16.91 |