| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
10,002 |
5,279 |
$322K |
| E0601 |
Cont airway pressure device |
3,202 |
2,820 |
$159K |
| A4385 |
Ost skn barrier sld ext wear |
1,572 |
1,231 |
$68K |
| A4351 |
Straight tip urine catheter |
593 |
490 |
$51K |
| A4389 |
Drainable pch w st wear barr |
803 |
669 |
$40K |
| A4424 |
Ost pch drain w bar & filter |
613 |
507 |
$26K |
| A4362 |
Solid skin barrier |
865 |
700 |
$25K |
| E0562 |
Humidifier heated used w pap |
131 |
101 |
$12K |
| A4407 |
Ext wear ost skn barr <=4sq" |
91 |
75 |
$8K |
| A4456 |
Adhesive remover, wipes |
2,480 |
2,125 |
$8K |
| A5120 |
Skin barrier, wipe or swab |
2,413 |
1,943 |
$6K |
| A4406 |
Pectin based ostomy paste |
372 |
286 |
$3K |
| A4357 |
Bedside drainage bag |
404 |
337 |
$2K |
| A4367 |
Ostomy belt |
680 |
608 |
$2K |
| A4425 |
Ost pch drain for barrier fl |
55 |
36 |
$1K |
| A7034 |
Nasal application device |
14 |
12 |
$841.75 |
| A7035 |
Pos airway press headgear |
42 |
37 |
$826.11 |
| A4388 |
Drainable pch w ex wear barr |
14 |
13 |
$684.58 |
| A7037 |
Pos airway pressure tubing |
35 |
24 |
$550.99 |
| A4409 |
Ost skn barr convex <=4 sq i |
17 |
13 |
$543.99 |
| L8000 |
Mastectomy bra |
31 |
24 |
$428.01 |
| A7038 |
Pos airway pressure filter |
93 |
55 |
$404.62 |
| A4371 |
Skin barrier powder per oz |
86 |
75 |
$98.03 |