| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
10,002 |
5,279 |
$322K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,202 |
2,820 |
$159K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
1,572 |
1,231 |
$68K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
593 |
490 |
$51K |
| A4389 |
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each |
803 |
669 |
$40K |
| A4424 |
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each |
613 |
507 |
$26K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
865 |
700 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
131 |
101 |
$12K |
| A4407 |
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
91 |
75 |
$8K |
| A4456 |
Adhesive remover, wipes, any type, each |
2,480 |
2,125 |
$8K |
| A5120 |
Skin barrier, wipes or swabs, each |
2,413 |
1,943 |
$6K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
372 |
286 |
$3K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
404 |
337 |
$2K |
| A4367 |
Ostomy belt, each |
680 |
608 |
$2K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
55 |
36 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
14 |
12 |
$841.75 |
| A7035 |
Headgear used with positive airway pressure device |
42 |
37 |
$826.11 |
| A4388 |
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
14 |
13 |
$684.58 |
| A7037 |
Tubing used with positive airway pressure device |
35 |
24 |
$550.99 |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
17 |
13 |
$543.99 |
| L8000 |
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
31 |
24 |
$428.01 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
93 |
55 |
$404.62 |
| A4371 |
Ostomy skin barrier, powder, per oz |
86 |
75 |
$98.03 |