| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,913 |
3,590 |
$523K |
| A4520 |
Incontinence garment anytype |
3,577 |
2,875 |
$460K |
| A7030 |
Cpap full face mask |
4,231 |
3,990 |
$314K |
| E1390 |
Oxygen concentrator |
4,478 |
4,014 |
$270K |
| K0553 |
Ther cgm supply allowance |
1,644 |
1,363 |
$171K |
| T4528 |
Adult size pull-on xl |
1,084 |
1,054 |
$169K |
| T4541 |
Large disposable underpad |
3,254 |
3,117 |
$164K |
| E0562 |
Humidifier heated used w pap |
3,458 |
3,144 |
$141K |
| E0570 |
Nebulizer with compression |
4,770 |
4,432 |
$137K |
| A7034 |
Nasal application device |
2,026 |
1,919 |
$113K |
| T4535 |
Disposable liner/shield/pad |
1,608 |
1,513 |
$90K |
| A7037 |
Pos airway pressure tubing |
5,530 |
5,220 |
$87K |
| A7031 |
Replacement facemask interfa |
2,694 |
2,522 |
$76K |
| A4239 |
Non-adju cgm supply allow |
794 |
761 |
$74K |
| T4526 |
Adult size pull-on med |
436 |
421 |
$71K |
| T4527 |
Adult size pull-on lg |
445 |
420 |
$71K |
| A7035 |
Pos airway press headgear |
3,679 |
3,498 |
$65K |
| A7038 |
Pos airway pressure filter |
8,233 |
7,803 |
$47K |
| A7046 |
Repl water chamber, pap dev |
2,458 |
2,338 |
$45K |
| A4554 |
Disposable underpads |
2,976 |
1,434 |
$44K |
| E0431 |
Portable gaseous 02 |
3,228 |
2,847 |
$41K |
| E0443 |
Portable 02 contents, gas |
850 |
714 |
$37K |
| A7032 |
Replacement nasal cushion |
1,305 |
1,240 |
$35K |
| A7033 |
Replacement nasal pillows |
1,323 |
1,258 |
$33K |
| E0260 |
Hosp bed semi-electr w/ matt |
889 |
799 |
$29K |
| A4553 |
Nondisp underpads, all sizes |
1,719 |
1,645 |
$25K |
| K0001 |
Standard wheelchair |
1,494 |
1,371 |
$25K |
| A4927 |
Non-sterile gloves |
1,827 |
1,681 |
$22K |
| E0118 |
Crutch substitute |
532 |
516 |
$21K |
| A4604 |
Tubing with heating element |
513 |
501 |
$21K |
| L0641 |
Lo rig pos pnl l1-l5 pre ots |
320 |
302 |
$19K |
| L3908 |
Who cock-up nonmolde pre ots |
340 |
231 |
$15K |
| E0603 |
Electric breast pump |
185 |
160 |
$14K |
| A7039 |
Filter, non disposable w pap |
1,576 |
1,489 |
$12K |
| Q0513 |
Disp fee inhal drugs/30 days |
735 |
682 |
$9K |
| E0470 |
Rad w/o backup non-inv intfc |
89 |
78 |
$9K |
| A7003 |
Nebulizer administration set |
2,833 |
2,658 |
$7K |
| T4524 |
Adult size brief/diaper xl |
39 |
39 |
$6K |
| A6530 |
Compression stocking bk18-30 |
52 |
44 |
$5K |
| T4537 |
Reusable underpad bed size |
196 |
192 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,521 |
1,423 |
$2K |
| E0114 |
Crutch underarm pair no wood |
31 |
27 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
14 |
13 |
$513.35 |
| E0630 |
Patient lift hydraulic |
12 |
12 |
$320.05 |
| J7613 |
Albuterol non-comp unit |
65 |
63 |
$2.35 |
| A4453 |
Rec cath any transanal, each |
14 |
14 |
$0.00 |