| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
44,757 |
44,712 |
$5.57M |
| E0601 |
Cont airway pressure device |
71,958 |
71,891 |
$3.66M |
| K0606 |
Aed garment w elec analysis |
1,728 |
1,727 |
$2.90M |
| E0466 |
Home vent non-invasive inter |
2,765 |
2,727 |
$2.15M |
| E1399 |
Durable medical equipment mi |
743 |
683 |
$1.96M |
| E0570 |
Nebulizer with compression |
40,971 |
40,702 |
$1.63M |
| E0470 |
Rad w/o backup non-inv intfc |
11,056 |
11,045 |
$1.58M |
| E0603 |
Electric breast pump |
11,093 |
11,079 |
$1.49M |
| S1040 |
Cranial remolding orthosis |
996 |
996 |
$1.18M |
| L4361 |
Pneuma/vac walk boot pre ots |
6,046 |
5,999 |
$924K |
| E2510 |
Sgd w multi methods msg/accs |
183 |
183 |
$857K |
| L1970 |
Afo plastic molded w/ankle j |
1,466 |
1,055 |
$787K |
| E0431 |
Portable gaseous 02 |
37,035 |
37,005 |
$779K |
| E0562 |
Humidifier heated used w pap |
68,963 |
68,929 |
$724K |
| L3020 |
Foot longitud/metatarsal sup |
4,702 |
3,494 |
$624K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,386 |
1,380 |
$606K |
| A7030 |
Cpap full face mask |
5,438 |
5,427 |
$593K |
| E0465 |
Home vent invasive interface |
519 |
493 |
$469K |
| E0471 |
Rad w/backup non inv intrfc |
1,322 |
1,321 |
$456K |
| E0143 |
Walker folding wheeled w/o s |
6,758 |
6,744 |
$426K |
| L3908 |
Who cock-up nonmolde pre ots |
10,573 |
9,409 |
$358K |
| K0108 |
W/c component-accessory nos |
850 |
801 |
$355K |
| L2280 |
Molded inner boot |
984 |
671 |
$339K |
| L1907 |
Afo supramalleolar custom |
886 |
551 |
$338K |
| E0260 |
Hosp bed semi-electr w/ matt |
4,579 |
4,575 |
$316K |
| L2275 |
Plastic mod low ext pad/line |
3,351 |
2,336 |
$309K |
| A4351 |
Straight tip urine catheter |
1,895 |
1,810 |
$308K |
| L3809 |
Whfo w/o joints pre ots |
2,372 |
2,289 |
$297K |
| K0001 |
Standard wheelchair |
9,100 |
9,089 |
$256K |
| L1820 |
Ko elas w/ condyle pads & jo |
3,286 |
3,160 |
$246K |
| E0445 |
Oximeter non-invasive |
2,027 |
2,018 |
$235K |
| A6530 |
Compression stocking bk18-30 |
5,874 |
5,148 |
$223K |
| A5500 |
Diab shoe for density insert |
3,933 |
2,330 |
$220K |
| A6197 |
Alginate drsg >16 <=48 sq in |
568 |
541 |
$216K |
| A7005 |
Nondisposable nebulizer set |
18,933 |
18,687 |
$209K |
| A4385 |
Ost skn barrier sld ext wear |
3,502 |
3,406 |
$209K |
| A7035 |
Pos airway press headgear |
8,366 |
8,352 |
$206K |
| K0003 |
Lightweight wheelchair |
4,656 |
4,651 |
$206K |
| A7034 |
Nasal application device |
4,042 |
4,039 |
$205K |
| L4387 |
Non-pneum walk boot pre ots |
2,323 |
2,322 |
$205K |
| E2402 |
Neg press wound therapy pump |
581 |
343 |
$198K |
| L1960 |
Afo pos solid ank plastic mo |
471 |
332 |
$179K |
| A7038 |
Pos airway pressure filter |
14,382 |
14,348 |
$168K |
| A7031 |
Replacement facemask interfa |
4,184 |
4,178 |
$165K |
| L1832 |
Ko adj jnt pos r sup pre cst |
329 |
326 |
$146K |
| A4624 |
Tracheal suction tube |
1,133 |
1,090 |
$143K |
| L3984 |
Upper ext fx orthosis wrist |
701 |
696 |
$142K |
| A4670 |
Automatic bp monitor, dial |
2,525 |
2,524 |
$140K |
| E0114 |
Crutch underarm pair no wood |
6,417 |
6,414 |
$138K |
| A7037 |
Pos airway pressure tubing |
8,070 |
8,060 |
$137K |
| L1902 |
Afo ankle gauntlet pre ots |
3,391 |
3,333 |
$135K |
| E0424 |
Stationary compressed gas 02 |
832 |
832 |
$131K |
| E0651 |
Pneum compressor segmental |
2,244 |
2,242 |
$123K |
| A4409 |
Ost skn barr convex <=4 sq i |
1,623 |
1,576 |
$117K |
| L2820 |
Soft interface below knee se |
2,383 |
1,822 |
$114K |
| A5512 |
Multi den insert direct form |
1,676 |
997 |
$105K |
| A6533 |
Gc stocking thighlngth 18-30 |
2,141 |
1,914 |
$103K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
1,257 |
1,220 |
$97K |
| A4407 |
Ext wear ost skn barr <=4sq" |
1,096 |
1,070 |
$90K |
| A5513 |
Multi den insert custom mold |
1,395 |
875 |
$87K |
| L4350 |
Ankle control ortho pre ots |
1,468 |
1,464 |
$83K |
| A4629 |
Tracheostomy care kit |
1,018 |
994 |
$75K |
| A6446 |
Conform band s w>=3" <5"/yd |
2,406 |
2,270 |
$71K |
| K0007 |
Extra heavy duty wheelchair |
1,176 |
1,175 |
$69K |
| L1830 |
Ko immob canvas long pre ots |
1,352 |
1,332 |
$66K |
| A4362 |
Solid skin barrier |
1,430 |
1,404 |
$64K |
| A7046 |
Repl water chamber, pap dev |
6,837 |
6,826 |
$62K |
| E0971 |
Wheelchair anti-tipping devi |
4,071 |
3,769 |
$59K |
| A7526 |
Tracheostomy tube collar |
1,160 |
1,133 |
$58K |
| E0730 |
Tens four lead |
2,683 |
2,683 |
$57K |
| E0600 |
Suction pump portab hom modl |
2,161 |
2,158 |
$57K |
| L3670 |
So acro/clav can web pre ots |
894 |
892 |
$56K |
| E0149 |
Heavy duty wheeled walker |
2,129 |
2,122 |
$54K |
| L4360 |
Pneumat walking boot pre cst |
352 |
352 |
$54K |
| A5063 |
Drain ostomy pouch w/flange |
1,507 |
1,486 |
$52K |
| A6212 |
Foam drg <=16 sq in w/border |
282 |
263 |
$48K |
| K0195 |
Elevating whlchair leg rests |
6,171 |
6,166 |
$44K |
| A4452 |
Waterproof tape |
2,195 |
2,132 |
$42K |
| A7520 |
Trach/laryn tube non-cuffed |
812 |
790 |
$42K |
| A7000 |
Disposable canister for pump |
2,292 |
2,081 |
$42K |
| E0277 |
Powered pres-redu air mattrs |
123 |
123 |
$41K |
| A6021 |
Collagen dressing <=16 sq in |
155 |
149 |
$40K |
| A4425 |
Ost pch drain for barrier fl |
794 |
777 |
$38K |
| A4623 |
Tracheostomy inner cannula |
327 |
309 |
$37K |
| A4394 |
Ostomy pouch liq deodorant |
1,843 |
1,823 |
$36K |
| E0630 |
Patient lift hydraulic |
905 |
902 |
$36K |
| E0156 |
Walker seat attachment |
2,475 |
2,471 |
$36K |
| A6550 |
Neg pres wound ther drsg set |
226 |
167 |
$36K |
| A5057 |
1 pc ost pou w built-in conv |
248 |
236 |
$35K |
| L1812 |
Ko elastic w/joints pre ots |
502 |
491 |
$31K |
| K0739 |
Repair/svc dme non-oxygen eq |
517 |
506 |
$29K |
| A4627 |
Spacer bag/reservoir |
2,433 |
2,425 |
$29K |
| L3660 |
So 8 ab rstr can/web pre ots |
540 |
539 |
$29K |
| E2601 |
Gen w/c cushion wdth < 22 in |
643 |
642 |
$28K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
220 |
204 |
$25K |
| A7033 |
Replacement nasal pillows |
807 |
805 |
$23K |
| E1028 |
W/c manual swingaway |
169 |
156 |
$23K |
| A6402 |
Sterile gauze <= 16 sq in |
2,691 |
2,576 |
$22K |
| A4456 |
Adhesive remover, wipes |
2,007 |
1,978 |
$22K |
| A7032 |
Replacement nasal cushion |
1,458 |
1,452 |
$22K |
| L3807 |
Whfo w/o joints pre cst |
171 |
166 |
$22K |
| E0565 |
Compressor air power source |
615 |
613 |
$21K |
| L3260 |
Ambulatory surgical boot eac |
967 |
961 |
$21K |
| L4386 |
Non-pneum walk boot pre cst |
240 |
240 |
$21K |
| A4335 |
Incontinence supply |
290 |
290 |
$20K |
| L4397 |
Static or dynami afo pre ots |
192 |
169 |
$20K |
| A4628 |
Oropharyngeal suction cath |
926 |
915 |
$20K |
| A7015 |
Aerosol mask used w nebulize |
18,638 |
18,388 |
$20K |
| E0100 |
Cane adjust/fixed with tip |
1,805 |
1,805 |
$18K |
| E0163 |
Commode chair with fixed arm |
362 |
361 |
$17K |
| E0135 |
Walker folding adjust/fixed |
385 |
384 |
$17K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
449 |
449 |
$16K |
| A5120 |
Skin barrier, wipe or swab |
2,967 |
2,928 |
$16K |
| T4541 |
Large disposable underpad |
284 |
283 |
$14K |
| E0978 |
W/c acc,saf belt pelv strap |
515 |
515 |
$14K |
| A7003 |
Nebulizer administration set |
5,022 |
5,005 |
$12K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
45 |
45 |
$11K |
| A4927 |
Non-sterile gloves |
793 |
778 |
$10K |
| L2200 |
Limited ankle motion ea jnt |
320 |
224 |
$10K |
| A4406 |
Pectin based ostomy paste |
714 |
702 |
$10K |
| T4535 |
Disposable liner/shield/pad |
115 |
111 |
$10K |
| K0004 |
High strength ltwt whlchr |
177 |
177 |
$10K |
| A4371 |
Skin barrier powder per oz |
2,069 |
2,041 |
$9K |
| A4357 |
Bedside drainage bag |
858 |
846 |
$9K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
14 |
14 |
$8K |
| A4606 |
Oxygen probe used w oximeter |
31 |
27 |
$8K |
| E0165 |
Commode chair with detacharm |
587 |
587 |
$8K |
| A4450 |
Non-waterproof tape |
1,489 |
1,464 |
$8K |
| A7002 |
Tubing used w suction pump |
1,344 |
1,325 |
$8K |
| A4367 |
Ostomy belt |
1,365 |
1,345 |
$7K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
28 |
28 |
$7K |
| L1940 |
Afo molded to patient plasti |
13 |
13 |
$6K |
| A6216 |
Non-sterile gauze<=16 sq in |
1,002 |
987 |
$6K |
| K0006 |
Heavy duty wheelchair |
115 |
114 |
$6K |
| E0635 |
Patient lift electric |
49 |
49 |
$5K |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
83 |
79 |
$5K |
| E0973 |
W/ch access det adj armrest |
171 |
151 |
$3K |
| A7036 |
Pos airway press chinstrap |
335 |
335 |
$3K |
| A6196 |
Alginate dressing <=16 sq in |
25 |
25 |
$3K |
| E0105 |
Cane adjust/fixed quad/3 pro |
109 |
109 |
$3K |
| E0960 |
W/c shoulder harness/straps |
51 |
51 |
$3K |
| E0951 |
Loop heel |
261 |
242 |
$2K |
| A5056 |
1 pc ost pouch w filter |
37 |
36 |
$2K |
| A5514 |
Mult den insert dir carv/cam |
39 |
24 |
$2K |
| A4930 |
Sterile, gloves per pair |
28 |
27 |
$2K |
| K0040 |
Adjustable angle footplate |
24 |
24 |
$2K |
| A4432 |
Os pch urine w bar/fange/tap |
38 |
37 |
$1K |
| L3010 |
Foot longitudinal arch suppo |
17 |
12 |
$1K |
| T4522 |
Adult size brief/diaper med |
12 |
12 |
$1K |
| A4388 |
Drainable pch w ex wear barr |
12 |
12 |
$1K |
| E0961 |
Wheelchair brake extension |
127 |
116 |
$1K |
| A4402 |
Lubricant per ounce |
723 |
718 |
$1K |
| E0561 |
Humidifier nonheated w pap |
119 |
119 |
$1K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
15 |
13 |
$926.12 |
| A6260 |
Wound cleanser any type/size |
92 |
90 |
$806.54 |
| L2220 |
Dorsi & plantar flex ass/res |
23 |
15 |
$799.50 |
| A4358 |
Urinary leg or abdomen bag |
89 |
88 |
$776.44 |
| L2795 |
Knee control full kneecap |
15 |
15 |
$684.30 |
| A7525 |
Tracheostomy mask |
167 |
161 |
$664.74 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
12 |
12 |
$601.47 |
| E0443 |
Portable 02 contents, gas |
25 |
25 |
$510.60 |
| A4595 |
Tens suppl 2 lead per month |
12 |
12 |
$377.96 |
| A6266 |
Impreg gauze no h20/sal/yard |
13 |
12 |
$353.69 |
| A4253 |
Blood glucose/reagent strips |
26 |
25 |
$323.17 |
| A6445 |
Conform band s w <3"/yd |
12 |
12 |
$182.52 |
| A6449 |
Lt compres band >=3" <5"/yd |
14 |
14 |
$82.80 |
| A4259 |
Lancets per box |
12 |
12 |
$10.77 |