| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0465 |
Home vent invasive interface |
58,227 |
35,277 |
$41.27M |
| E1390 |
Oxygen concentrator |
528,215 |
497,756 |
$36.81M |
| E0466 |
Home vent non-invasive inter |
58,619 |
54,789 |
$24.43M |
| A4605 |
Trach suction cath close sys |
13,664 |
12,841 |
$6.26M |
| A7520 |
Trach/laryn tube non-cuffed |
32,597 |
29,661 |
$6.00M |
| E0483 |
Hi freq chest wall oscil sys |
8,148 |
7,832 |
$5.16M |
| E0445 |
Oximeter non-invasive |
28,334 |
27,822 |
$5.06M |
| E0601 |
Cont airway pressure device |
120,015 |
115,526 |
$5.02M |
| E0431 |
Portable gaseous 02 |
319,681 |
301,652 |
$4.61M |
| A7526 |
Tracheostomy tube collar |
40,698 |
39,199 |
$3.64M |
| E0471 |
Rad w/backup non inv intrfc |
8,890 |
8,210 |
$3.13M |
| E0482 |
Cough stimulating device |
8,023 |
7,831 |
$2.95M |
| E0481 |
Intrpulmnry percuss vent sys |
3,096 |
3,044 |
$2.68M |
| A4624 |
Tracheal suction tube |
30,783 |
28,776 |
$2.35M |
| E1392 |
Portable oxygen concentrator |
110,572 |
105,246 |
$2.21M |
| A4606 |
Oxygen probe used w oximeter |
22,685 |
21,825 |
$2.21M |
| E0470 |
Rad w/o backup non-inv intfc |
20,905 |
20,118 |
$2.17M |
| E0443 |
Portable 02 contents, gas |
45,441 |
42,333 |
$2.16M |
| E0562 |
Humidifier heated used w pap |
73,367 |
70,513 |
$2.02M |
| K0001 |
Standard wheelchair |
69,250 |
65,844 |
$1.91M |
| E0600 |
Suction pump portab hom modl |
40,182 |
36,512 |
$1.79M |
| A7521 |
Trach/laryn tube cuffed |
7,277 |
6,593 |
$1.79M |
| A4623 |
Tracheostomy inner cannula |
10,624 |
9,957 |
$1.61M |
| E0570 |
Nebulizer with compression |
66,376 |
62,835 |
$1.60M |
| T4541 |
Large disposable underpad |
40,919 |
39,550 |
$1.50M |
| A4629 |
Tracheostomy care kit |
22,369 |
21,335 |
$1.23M |
| A7000 |
Disposable canister for pump |
55,425 |
51,643 |
$1.23M |
| A7030 |
Cpap full face mask |
21,940 |
21,233 |
$1.20M |
| S8189 |
Trach supply noc |
2,763 |
2,585 |
$1.19M |
| B4035 |
Enteral feed supp pump per d |
8,924 |
8,163 |
$1.13M |
| E0277 |
Powered pres-redu air mattrs |
3,600 |
3,262 |
$1.06M |
| A7034 |
Nasal application device |
23,000 |
22,282 |
$1.05M |
| T4523 |
Adult size brief/diaper lg |
13,551 |
13,201 |
$1.02M |
| B9998 |
Enteral supp not otherwise c |
11,438 |
10,277 |
$831K |
| E0143 |
Walker folding wheeled w/o s |
19,547 |
18,747 |
$808K |
| T4522 |
Adult size brief/diaper med |
11,531 |
11,220 |
$759K |
| A7002 |
Tubing used w suction pump |
58,175 |
50,028 |
$708K |
| A4628 |
Oropharyngeal suction cath |
41,880 |
39,039 |
$707K |
| A4322 |
Irrigation syringe |
10,903 |
10,308 |
$695K |
| A7509 |
Heat & moisture exchange sys |
8,820 |
8,250 |
$693K |
| E1235 |
Rigid ped wc adjustable |
4,723 |
4,532 |
$678K |
| A4351 |
Straight tip urine catheter |
3,295 |
3,043 |
$677K |
| B4088 |
Gastro/jejuno tube, low-pro |
5,236 |
5,024 |
$627K |
| A7035 |
Pos airway press headgear |
39,436 |
38,209 |
$579K |
| E1399 |
Durable medical equipment mi |
3,551 |
3,325 |
$575K |
| A4483 |
Moisture exchanger |
6,255 |
5,896 |
$571K |
| T4524 |
Adult size brief/diaper xl |
7,822 |
7,592 |
$570K |
| L8501 |
Tracheostomy speaking valve |
7,130 |
6,967 |
$569K |
| T4535 |
Disposable liner/shield/pad |
18,478 |
17,631 |
$553K |
| A6402 |
Sterile gauze <= 16 sq in |
43,298 |
40,916 |
$533K |
| E0295 |
Hosp bed semi-elect w/o matt |
6,920 |
6,218 |
$511K |
| E0565 |
Compressor air power source |
10,533 |
9,632 |
$485K |
| E0260 |
Hosp bed semi-electr w/ matt |
14,696 |
13,599 |
$463K |
| K0007 |
Extra heavy duty wheelchair |
5,067 |
4,792 |
$458K |
| K0003 |
Lightweight wheelchair |
13,002 |
12,211 |
$450K |
| A7037 |
Pos airway pressure tubing |
30,785 |
29,848 |
$442K |
| B9002 |
Enter nutr inf pump any type |
5,374 |
5,257 |
$435K |
| K0195 |
Elevating whlchair leg rests |
31,505 |
28,502 |
$412K |
| A7032 |
Replacement nasal cushion |
10,668 |
10,142 |
$412K |
| A7031 |
Replacement facemask interfa |
11,955 |
11,442 |
$395K |
| A7038 |
Pos airway pressure filter |
50,518 |
48,227 |
$388K |
| A4604 |
Tubing with heating element |
13,446 |
12,952 |
$368K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,549 |
2,902 |
$356K |
| A4353 |
Intermittent urinary cath |
893 |
796 |
$331K |
| K0738 |
Portable gas oxygen system |
19,125 |
18,221 |
$330K |
| E0163 |
Commode chair with fixed arm |
6,387 |
6,113 |
$310K |
| E0630 |
Patient lift hydraulic |
7,436 |
6,957 |
$289K |
| E1226 |
Manual fully reclining back |
9,534 |
9,144 |
$285K |
| A7033 |
Replacement nasal pillows |
6,962 |
6,719 |
$275K |
| T4527 |
Adult size pull-on lg |
5,457 |
5,169 |
$239K |
| T4526 |
Adult size pull-on med |
6,789 |
6,531 |
$239K |
| T4534 |
Youth size pull-on |
2,782 |
2,654 |
$237K |
| B4161 |
Ef ped hydrolyzed/amino acid |
806 |
699 |
$235K |
| E0245 |
Tub stool or bench |
5,296 |
5,118 |
$226K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,971 |
1,909 |
$225K |
| A4927 |
Non-sterile gloves |
22,468 |
21,794 |
$196K |
| B4150 |
Ef complet w/intact nutrient |
8,611 |
5,607 |
$178K |
| A7046 |
Repl water chamber, pap dev |
16,578 |
16,102 |
$160K |
| S9340 |
Hit enteral per diem |
429 |
415 |
$152K |
| A4409 |
Ost skn barr convex <=4 sq i |
869 |
831 |
$136K |
| E0619 |
Apnea monitor w recorder |
845 |
820 |
$136K |
| T4528 |
Adult size pull-on xl |
3,274 |
3,091 |
$136K |
| K0006 |
Heavy duty wheelchair |
2,373 |
2,299 |
$132K |
| A7039 |
Filter, non disposable w pap |
22,562 |
21,985 |
$131K |
| A4520 |
Incontinence garment anytype |
4,942 |
4,609 |
$129K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
537 |
510 |
$124K |
| E0247 |
Trans bench w/wo comm open |
1,748 |
1,728 |
$119K |
| T4530 |
Ped size brief/diaper lg |
1,984 |
1,888 |
$116K |
| A7525 |
Tracheostomy mask |
16,317 |
15,822 |
$114K |
| B4152 |
Ef calorie dense>/=1.5kcal |
873 |
742 |
$113K |
| J7606 |
Formoterol fumarate, inh |
591 |
583 |
$102K |
| B4154 |
Ef spec metabolic noninherit |
472 |
411 |
$99K |
| A7010 |
Disposable corrugated tubing |
7,376 |
7,133 |
$92K |
| A4320 |
Irrigation tray |
2,229 |
2,165 |
$88K |
| J7677 |
Revefenacin inh non-com 1mcg |
439 |
434 |
$88K |
| T4521 |
Adult size brief/diaper sm |
1,703 |
1,637 |
$86K |
| E0271 |
Mattress innerspring |
6,458 |
5,765 |
$84K |
| E0603 |
Electric breast pump |
1,252 |
1,236 |
$77K |
| E0776 |
Iv pole |
5,380 |
5,030 |
$74K |
| E0730 |
Tens four lead |
4,305 |
4,160 |
$74K |
| A4217 |
Sterile water/saline, 500 ml |
4,210 |
3,951 |
$69K |
| A4385 |
Ost skn barrier sld ext wear |
796 |
762 |
$65K |
| E0971 |
Wheelchair anti-tipping devi |
12,209 |
11,168 |
$64K |
| T4525 |
Adult size pull-on sm |
1,907 |
1,838 |
$63K |
| A9900 |
Supply/accessory/service |
1,008 |
764 |
$61K |
| E0305 |
Rails bed side half length |
5,498 |
4,882 |
$60K |
| J7626 |
Budesonide non-comp unit |
862 |
848 |
$57K |
| E0156 |
Walker seat attachment |
6,370 |
6,147 |
$56K |
| A7003 |
Nebulizer administration set |
27,072 |
26,007 |
$55K |
| A7007 |
Lg vol nebulizer disposable |
11,503 |
10,916 |
$52K |
| E1038 |
Transport chair pt wt<=300lb |
4,993 |
4,669 |
$47K |
| E0978 |
W/c acc,saf belt pelv strap |
16,367 |
14,834 |
$43K |
| A4425 |
Ost pch drain for barrier fl |
682 |
653 |
$43K |
| A5063 |
Drain ostomy pouch w/flange |
495 |
462 |
$40K |
| A7005 |
Nondisposable nebulizer set |
2,176 |
1,982 |
$37K |
| A7012 |
Nebulizer water collec devic |
7,375 |
6,948 |
$37K |
| A4554 |
Disposable underpads |
797 |
775 |
$35K |
| E0303 |
Hosp bed hvy dty xtra wide |
298 |
280 |
$34K |
| E0181 |
Press pad alternating w/ pum |
1,984 |
1,869 |
$28K |
| B4034 |
Enter feed supkit syr by day |
887 |
832 |
$25K |
| E0966 |
Wheelchair head rest extensi |
4,017 |
3,883 |
$23K |
| A7527 |
Trach/laryn tube plug/stop |
3,014 |
2,950 |
$23K |
| J7620 |
Albuterol ipratrop non-comp |
1,479 |
1,447 |
$22K |
| A4402 |
Lubricant per ounce |
8,915 |
8,735 |
$21K |
| E0105 |
Cane adjust/fixed quad/3 pro |
872 |
837 |
$20K |
| A4357 |
Bedside drainage bag |
1,248 |
1,184 |
$19K |
| A4424 |
Ost pch drain w bar & filter |
219 |
204 |
$18K |
| A4358 |
Urinary leg or abdomen bag |
1,124 |
1,055 |
$15K |
| E0100 |
Cane adjust/fixed with tip |
1,238 |
1,202 |
$15K |
| Q0513 |
Disp fee inhal drugs/30 days |
2,056 |
2,024 |
$14K |
| E0240 |
Bath/shower chair |
243 |
231 |
$13K |
| A6216 |
Non-sterile gauze<=16 sq in |
1,721 |
1,664 |
$13K |
| A5120 |
Skin barrier, wipe or swab |
1,483 |
1,422 |
$13K |
| E0310 |
Rails bed side full length |
946 |
890 |
$13K |
| A4456 |
Adhesive remover, wipes |
1,341 |
1,281 |
$13K |
| A4349 |
Disposable male external cat |
332 |
297 |
$13K |
| A7036 |
Pos airway press chinstrap |
1,525 |
1,487 |
$13K |
| T4537 |
Reusable underpad bed size |
646 |
608 |
$12K |
| A4450 |
Non-waterproof tape |
1,519 |
1,424 |
$12K |
| J7613 |
Albuterol non-comp unit |
1,125 |
1,116 |
$11K |
| A7015 |
Aerosol mask used w nebulize |
6,726 |
6,480 |
$10K |
| A4649 |
Surgical supplies |
721 |
679 |
$9K |
| E0149 |
Heavy duty wheeled walker |
131 |
127 |
$9K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
173 |
161 |
$8K |
| A4595 |
Tens suppl 2 lead per month |
136 |
132 |
$7K |
| E0165 |
Commode chair with detacharm |
118 |
115 |
$7K |
| A4407 |
Ext wear ost skn barr <=4sq" |
40 |
39 |
$7K |
| E0114 |
Crutch underarm pair no wood |
421 |
417 |
$6K |
| K0045 |
Ftrst compl assembly repl ea |
1,097 |
1,080 |
$6K |
| Q0514 |
Disp fee inhal drugs/90 days |
719 |
718 |
$6K |
| G0333 |
Dispense fee initial 30 day |
600 |
593 |
$6K |
| E0935 |
Cont pas motion exercise dev |
27 |
26 |
$5K |
| A9270 |
Non-covered item or service |
454 |
426 |
$5K |
| A4338 |
Indwelling catheter latex |
332 |
312 |
$5K |
| A4335 |
Incontinence supply |
11,870 |
8,347 |
$3K |
| A4625 |
Trach care kit for new trach |
62 |
61 |
$3K |
| J7699 |
Inhalation solution for dme |
14 |
13 |
$3K |
| A6250 |
Skin seal protect moisturizr |
2,157 |
2,083 |
$2K |
| A4310 |
Insert tray w/o bag/cath |
180 |
177 |
$2K |
| A4332 |
Lube sterile packet |
2,173 |
2,135 |
$2K |
| A4394 |
Ostomy pouch liq deodorant |
159 |
152 |
$2K |
| A9999 |
Dme supply or accessory, nos |
405 |
370 |
$2K |
| A4657 |
Syringe w/wo needle |
638 |
617 |
$2K |
| E1014 |
Reclining back add ped w/c |
65 |
62 |
$1K |
| A4406 |
Pectin based ostomy paste |
159 |
151 |
$953.06 |
| J7605 |
Arformoterol non-comp unit |
27 |
26 |
$919.64 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
27 |
25 |
$890.74 |
| E0244 |
Toilet seat raised |
29 |
25 |
$791.33 |
| E0621 |
Patient lift sling or seat |
16 |
14 |
$590.77 |
| E0910 |
Trapeze bar attached to bed |
67 |
67 |
$547.03 |
| A4452 |
Waterproof tape |
69 |
64 |
$477.90 |
| A7013 |
Disposable compressor filter |
597 |
562 |
$375.78 |
| A4616 |
Tubing (oxygen) per foot |
79 |
74 |
$325.31 |
| A4670 |
Automatic bp monitor, dial |
80 |
72 |
$325.30 |
| A4371 |
Skin barrier powder per oz |
113 |
109 |
$276.01 |
| A7020 |
Interface, cough stim device |
13 |
13 |
$225.76 |
| A4362 |
Solid skin barrier |
12 |
12 |
$212.90 |
| E0241 |
Bath tub wall rail |
18 |
13 |
$121.58 |
| 99213 |
|
14 |
12 |
$0.00 |