| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
24,286 |
23,713 |
$7.61M |
| E0601 |
Cont airway pressure device |
120,940 |
116,211 |
$4.15M |
| A7030 |
Cpap full face mask |
54,860 |
52,878 |
$4.02M |
| E0784 |
Ext amb infusn pump insulin |
2,106 |
2,017 |
$3.27M |
| A4604 |
Tubing with heating element |
83,651 |
80,914 |
$2.35M |
| E1390 |
Oxygen concentrator |
34,860 |
34,318 |
$1.63M |
| A7031 |
Replacement facemask interfa |
53,504 |
51,505 |
$1.54M |
| A4239 |
Non-adju cgm supply allow |
19,382 |
18,848 |
$1.52M |
| A7034 |
Nasal application device |
34,822 |
33,917 |
$1.48M |
| E0466 |
Home vent non-invasive inter |
5,852 |
5,433 |
$1.45M |
| A9277 |
External transmitter, cgm |
4,615 |
4,518 |
$1.40M |
| E0562 |
Humidifier heated used w pap |
31,049 |
30,191 |
$1.33M |
| A4230 |
Infus insulin pump non needl |
6,095 |
5,971 |
$992K |
| A7035 |
Pos airway press headgear |
52,323 |
50,571 |
$784K |
| E1399 |
Durable medical equipment mi |
9,686 |
4,804 |
$772K |
| E0470 |
Rad w/o backup non-inv intfc |
9,799 |
9,267 |
$682K |
| K0553 |
Ther cgm supply allowance |
11,016 |
10,357 |
$614K |
| E0471 |
Rad w/backup non inv intrfc |
2,739 |
2,626 |
$540K |
| A9278 |
External receiver, cgm sys |
1,537 |
1,517 |
$496K |
| A7032 |
Replacement nasal cushion |
16,175 |
15,671 |
$491K |
| A7038 |
Pos airway pressure filter |
97,424 |
94,116 |
$399K |
| A7033 |
Replacement nasal pillows |
15,376 |
14,847 |
$361K |
| E0570 |
Nebulizer with compression |
14,551 |
14,314 |
$342K |
| A4232 |
Syringe w/needle insulin 3cc |
6,826 |
6,671 |
$323K |
| A7046 |
Repl water chamber, pap dev |
34,864 |
33,781 |
$289K |
| E2103 |
Non-adju cgm receiver/mon |
1,677 |
1,657 |
$138K |
| E0431 |
Portable gaseous 02 |
16,342 |
16,109 |
$136K |
| E0482 |
Cough stimulating device |
793 |
749 |
$108K |
| A4231 |
Infusion insulin pump needle |
616 |
591 |
$76K |
| A7005 |
Nondisposable nebulizer set |
4,793 |
4,648 |
$68K |
| K0738 |
Portable gas oxygen system |
4,364 |
4,315 |
$67K |
| A4351 |
Straight tip urine catheter |
391 |
373 |
$63K |
| E1392 |
Portable oxygen concentrator |
4,732 |
4,642 |
$59K |
| K0554 |
Ther cgm receiver/monitor |
962 |
912 |
$54K |
| E0483 |
Hi freq chest wall oscil sys |
126 |
111 |
$54K |
| A9901 |
Delivery/set up/dispensing |
18,954 |
18,175 |
$48K |
| A4224 |
Supply insulin inf cath/wk |
1,122 |
1,109 |
$48K |
| A7037 |
Pos airway pressure tubing |
3,548 |
3,479 |
$37K |
| A7036 |
Pos airway press chinstrap |
4,797 |
4,640 |
$36K |
| A7039 |
Filter, non disposable w pap |
4,025 |
3,860 |
$25K |
| S1035 |
Art pancreas inv disp sensor |
67 |
66 |
$24K |
| E0600 |
Suction pump portab hom modl |
1,607 |
1,491 |
$23K |
| A9274 |
Ext amb insulin delivery sys |
39 |
37 |
$20K |
| E0445 |
Oximeter non-invasive |
189 |
185 |
$16K |
| A4225 |
Sup/ext insulin inf pump syr |
942 |
934 |
$13K |
| E0603 |
Electric breast pump |
47 |
47 |
$9K |
| A4628 |
Oropharyngeal suction cath |
230 |
212 |
$2K |
| A7003 |
Nebulizer administration set |
2,061 |
2,000 |
$2K |
| A7000 |
Disposable canister for pump |
659 |
596 |
$2K |
| A4238 |
Adju cgm supply allowance |
13 |
13 |
$2K |
| E0443 |
Portable 02 contents, gas |
44 |
40 |
$1K |
| E0607 |
Blood glucose monitor home |
39 |
39 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
935 |
926 |
$1K |
| A7002 |
Tubing used w suction pump |
634 |
584 |
$844.64 |
| A4357 |
Bedside drainage bag |
79 |
76 |
$423.36 |
| E2102 |
Adju cgm receiver/monitor |
118 |
117 |
$340.78 |
| A7013 |
Disposable compressor filter |
580 |
561 |
$301.00 |
| A9279 |
Monitoring feature/devicenoc |
12 |
12 |
$160.00 |