| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
232,669 |
225,592 |
$11.35M |
| E2402 |
Neg press wound therapy pump |
10,417 |
10,055 |
$10.32M |
| T4541 |
Large disposable underpad |
335,012 |
330,841 |
$7.86M |
| E0443 |
Portable 02 contents, gas |
130,583 |
128,632 |
$4.57M |
| K0001 |
Standard wheelchair |
191,523 |
189,074 |
$4.08M |
| T4535 |
Disposable liner/shield/pad |
159,697 |
153,920 |
$3.26M |
| E0601 |
Cont airway pressure device |
183,439 |
182,209 |
$3.16M |
| T4534 |
Youth size pull-on |
51,011 |
49,879 |
$3.07M |
| E0277 |
Powered pres-redu air mattrs |
10,773 |
10,565 |
$3.01M |
| T4527 |
Adult size pull-on lg |
90,401 |
89,064 |
$2.99M |
| E1399 |
Durable medical equipment mi |
25,081 |
22,352 |
$2.91M |
| T4523 |
Adult size brief/diaper lg |
64,220 |
63,426 |
$2.85M |
| A4351 |
Straight tip urine catheter |
22,471 |
21,617 |
$2.81M |
| E0465 |
Home vent invasive interface |
3,711 |
2,750 |
$2.35M |
| E0431 |
Portable gaseous 02 |
223,734 |
221,035 |
$2.25M |
| T4526 |
Adult size pull-on med |
87,161 |
85,765 |
$2.14M |
| E0471 |
Rad w/backup non inv intrfc |
11,196 |
11,109 |
$2.05M |
| T4528 |
Adult size pull-on xl |
59,596 |
58,669 |
$2.02M |
| B4035 |
Enteral feed supp pump per d |
36,579 |
35,383 |
$1.96M |
| T4522 |
Adult size brief/diaper med |
58,544 |
57,892 |
$1.88M |
| E0143 |
Walker folding wheeled w/o s |
62,065 |
61,112 |
$1.86M |
| E0570 |
Nebulizer with compression |
31,784 |
30,792 |
$1.68M |
| E0295 |
Hosp bed semi-elect w/o matt |
38,083 |
37,723 |
$1.66M |
| T4524 |
Adult size brief/diaper xl |
36,750 |
36,222 |
$1.60M |
| A4322 |
Irrigation syringe |
39,026 |
38,030 |
$1.50M |
| E0470 |
Rad w/o backup non-inv intfc |
28,587 |
28,351 |
$1.48M |
| T4530 |
Ped size brief/diaper lg |
37,025 |
36,540 |
$1.35M |
| E0562 |
Humidifier heated used w pap |
225,609 |
223,879 |
$1.32M |
| A4353 |
Intermittent urinary cath |
3,618 |
3,503 |
$1.32M |
| B9002 |
Enter nutr inf pump any type |
19,757 |
19,498 |
$1.28M |
| B9998 |
Enteral supp not otherwise c |
42,829 |
39,463 |
$1.25M |
| T5999 |
Supply, nos |
13,597 |
11,814 |
$1.18M |
| A4649 |
Surgical supplies |
34,339 |
32,875 |
$926K |
| A4670 |
Automatic bp monitor, dial |
23,823 |
23,506 |
$924K |
| K0823 |
Pwc gp 2 std cap chair |
1,045 |
1,009 |
$900K |
| A6550 |
Neg pres wound ther drsg set |
3,383 |
3,243 |
$849K |
| K0003 |
Lightweight wheelchair |
27,769 |
27,433 |
$846K |
| B4088 |
Gastro/jejuno tube, low-pro |
15,008 |
14,674 |
$802K |
| E0163 |
Commode chair with fixed arm |
19,076 |
18,791 |
$765K |
| A4409 |
Ost skn barr convex <=4 sq i |
10,115 |
9,893 |
$749K |
| E0303 |
Hosp bed hvy dty xtra wide |
6,132 |
6,056 |
$702K |
| E0603 |
Electric breast pump |
17,400 |
17,258 |
$682K |
| E0245 |
Tub stool or bench |
23,791 |
22,877 |
$671K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
10,847 |
9,886 |
$670K |
| A6250 |
Skin seal protect moisturizr |
87,400 |
86,384 |
$653K |
| K0108 |
W/c component-accessory nos |
4,206 |
1,531 |
$600K |
| E1392 |
Portable oxygen concentrator |
11,590 |
11,433 |
$591K |
| A7030 |
Cpap full face mask |
18,068 |
17,904 |
$586K |
| A4927 |
Non-sterile gloves |
84,111 |
81,824 |
$575K |
| K0006 |
Heavy duty wheelchair |
11,784 |
11,634 |
$529K |
| E0935 |
Cont pas motion exercise dev |
2,186 |
2,119 |
$512K |
| K0195 |
Elevating whlchair leg rests |
55,109 |
54,129 |
$488K |
| A6402 |
Sterile gauze <= 16 sq in |
58,601 |
55,053 |
$461K |
| A7034 |
Nasal application device |
20,970 |
20,785 |
$454K |
| K0007 |
Extra heavy duty wheelchair |
5,693 |
5,600 |
$451K |
| A4385 |
Ost skn barrier sld ext wear |
12,491 |
11,912 |
$421K |
| T4525 |
Adult size pull-on sm |
21,883 |
21,515 |
$409K |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,318 |
2,211 |
$396K |
| T4543 |
Adult disp brief/diap abv xl |
4,573 |
4,313 |
$394K |
| A5056 |
1 pc ost pouch w filter |
3,664 |
3,595 |
$382K |
| A4623 |
Tracheostomy inner cannula |
4,336 |
4,164 |
$374K |
| E0630 |
Patient lift hydraulic |
12,404 |
12,247 |
$370K |
| A6446 |
Conform band s w>=3" <5"/yd |
15,633 |
15,054 |
$365K |
| E0247 |
Trans bench w/wo comm open |
7,182 |
6,978 |
$353K |
| B4150 |
Ef complet w/intact nutrient |
7,617 |
6,832 |
$349K |
| E0600 |
Suction pump portab hom modl |
14,871 |
14,338 |
$347K |
| A4425 |
Ost pch drain for barrier fl |
9,428 |
9,220 |
$327K |
| A4335 |
Incontinence supply |
79,256 |
78,342 |
$323K |
| A6216 |
Non-sterile gauze<=16 sq in |
18,818 |
18,233 |
$317K |
| A4217 |
Sterile water/saline, 500 ml |
16,245 |
15,804 |
$309K |
| E0466 |
Home vent non-invasive inter |
492 |
450 |
$287K |
| A6197 |
Alginate drsg >16 <=48 sq in |
2,255 |
2,137 |
$272K |
| A7035 |
Pos airway press headgear |
39,346 |
38,960 |
$270K |
| E0240 |
Bath/shower chair |
2,757 |
2,491 |
$260K |
| E0483 |
Hi freq chest wall oscil sys |
307 |
301 |
$260K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
1,017 |
961 |
$255K |
| T4532 |
Ped size pull-on lg |
5,910 |
5,786 |
$255K |
| T4521 |
Adult size brief/diaper sm |
10,476 |
10,373 |
$254K |
| A4352 |
Coude tip urinary catheter |
1,685 |
1,484 |
$254K |
| E0271 |
Mattress innerspring |
36,391 |
35,980 |
$252K |
| E0310 |
Rails bed side full length |
35,137 |
34,792 |
$246K |
| E1226 |
Manual fully reclining back |
9,666 |
9,491 |
$237K |
| A5061 |
Pouch drainable w barrier at |
4,236 |
4,062 |
$234K |
| T4537 |
Reusable underpad bed size |
11,849 |
11,717 |
$229K |
| A7000 |
Disposable canister for pump |
12,046 |
8,955 |
$226K |
| A6212 |
Foam drg <=16 sq in w/border |
2,826 |
2,686 |
$217K |
| A7526 |
Tracheostomy tube collar |
6,862 |
6,677 |
$212K |
| A7037 |
Pos airway pressure tubing |
33,501 |
33,241 |
$211K |
| E0971 |
Wheelchair anti-tipping devi |
35,247 |
31,853 |
$206K |
| A4407 |
Ext wear ost skn barr <=4sq" |
2,988 |
2,861 |
$197K |
| A4349 |
Disposable male external cat |
4,175 |
4,026 |
$195K |
| A4624 |
Tracheal suction tube |
6,567 |
6,391 |
$187K |
| E0149 |
Heavy duty wheeled walker |
4,852 |
4,733 |
$184K |
| A7520 |
Trach/laryn tube non-cuffed |
3,594 |
3,460 |
$180K |
| A6196 |
Alginate dressing <=16 sq in |
1,618 |
1,573 |
$180K |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
8,032 |
7,754 |
$172K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
2,673 |
2,609 |
$165K |
| A6021 |
Collagen dressing <=16 sq in |
1,017 |
991 |
$158K |
| A4424 |
Ost pch drain w bar & filter |
3,005 |
2,930 |
$158K |
| A4388 |
Drainable pch w ex wear barr |
1,963 |
1,928 |
$156K |
| A4362 |
Solid skin barrier |
4,239 |
4,049 |
$144K |
| E0156 |
Walker seat attachment |
23,675 |
23,389 |
$142K |
| A5063 |
Drain ostomy pouch w/flange |
4,434 |
4,350 |
$142K |
| A4357 |
Bedside drainage bag |
11,342 |
10,937 |
$142K |
| E0776 |
Iv pole |
14,785 |
14,403 |
$141K |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
3,309 |
3,260 |
$140K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
1,360 |
1,314 |
$140K |
| A4421 |
Ostomy supply misc |
1,817 |
1,687 |
$138K |
| A5120 |
Skin barrier, wipe or swab |
19,371 |
18,925 |
$135K |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
2,810 |
2,734 |
$134K |
| T4536 |
Reusable pull-on any size |
16,785 |
16,581 |
$131K |
| A4483 |
Moisture exchanger |
1,416 |
1,273 |
$127K |
| A4456 |
Adhesive remover, wipes |
17,701 |
17,366 |
$118K |
| A5057 |
1 pc ost pou w built-in conv |
782 |
750 |
$118K |
| A4389 |
Drainable pch w st wear barr |
1,272 |
1,261 |
$114K |
| A4406 |
Pectin based ostomy paste |
10,407 |
10,127 |
$109K |
| E0260 |
Hosp bed semi-electr w/ matt |
5,243 |
4,945 |
$106K |
| E0635 |
Patient lift electric |
1,487 |
1,460 |
$103K |
| A4604 |
Tubing with heating element |
4,774 |
4,740 |
$103K |
| E0978 |
W/c acc,saf belt pelv strap |
36,452 |
35,489 |
$101K |
| E0973 |
W/ch access det adj armrest |
1,508 |
1,274 |
$100K |
| A4338 |
Indwelling catheter latex |
4,326 |
4,247 |
$98K |
| K0004 |
High strength ltwt whlchr |
2,768 |
2,747 |
$98K |
| A4629 |
Tracheostomy care kit |
4,602 |
4,462 |
$97K |
| A4358 |
Urinary leg or abdomen bag |
6,486 |
6,291 |
$94K |
| B4154 |
Ef spec metabolic noninherit |
8,912 |
8,077 |
$93K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,344 |
2,831 |
$92K |
| A4394 |
Ostomy pouch liq deodorant |
8,804 |
8,543 |
$90K |
| E0730 |
Tens four lead |
7,223 |
7,058 |
$87K |
| E0165 |
Commode chair with detacharm |
1,211 |
1,183 |
$87K |
| A7521 |
Trach/laryn tube cuffed |
2,016 |
1,908 |
$86K |
| A4450 |
Non-waterproof tape |
22,083 |
21,603 |
$86K |
| E0168 |
Heavyduty/wide commode chair |
1,540 |
1,510 |
$84K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,896 |
1,825 |
$83K |
| E0244 |
Toilet seat raised |
2,889 |
2,840 |
$83K |
| T4531 |
Ped size pull-on sm/med |
1,740 |
1,713 |
$83K |
| A9900 |
Supply/accessory/service |
691 |
642 |
$82K |
| T4533 |
Youth size brief/diaper |
4,134 |
4,095 |
$82K |
| A6266 |
Impreg gauze no h20/sal/yard |
1,919 |
1,867 |
$77K |
| A7038 |
Pos airway pressure filter |
43,154 |
42,730 |
$77K |
| A6258 |
Transparent film >16<=48 in |
1,628 |
1,572 |
$72K |
| E1236 |
Folding ped wc adjustable |
160 |
157 |
$71K |
| A4628 |
Oropharyngeal suction cath |
11,268 |
10,686 |
$69K |
| A4606 |
Oxygen probe used w oximeter |
1,059 |
1,035 |
$67K |
| E0105 |
Cane adjust/fixed quad/3 pro |
3,273 |
3,225 |
$63K |
| A4371 |
Skin barrier powder per oz |
10,051 |
9,902 |
$63K |
| E1038 |
Transport chair pt wt<=300lb |
10,097 |
9,931 |
$59K |
| S9999 |
Sales tax |
23,549 |
21,473 |
$56K |
| A6260 |
Wound cleanser any type/size |
1,885 |
1,840 |
$56K |
| E0445 |
Oximeter non-invasive |
737 |
726 |
$55K |
| E0100 |
Cane adjust/fixed with tip |
8,153 |
8,012 |
$55K |
| E0114 |
Crutch underarm pair no wood |
4,511 |
4,482 |
$50K |
| A6253 |
Absorpt drg > 48 sq in w/o b |
1,777 |
1,707 |
$50K |
| A4657 |
Syringe w/wo needle |
23,039 |
15,479 |
$47K |
| A4452 |
Waterproof tape |
4,862 |
4,761 |
$44K |
| E0604 |
Hosp grade elec breast pump |
3,958 |
3,939 |
$43K |
| E0565 |
Compressor air power source |
1,726 |
1,702 |
$42K |
| A4245 |
Alcohol wipes per box |
20,624 |
20,326 |
$41K |
| A4432 |
Os pch urine w bar/fange/tap |
1,281 |
1,246 |
$41K |
| A7046 |
Repl water chamber, pap dev |
14,492 |
14,356 |
$40K |
| E0951 |
Loop heel |
11,301 |
10,228 |
$39K |
| A6454 |
Self-adher band w>=3" <5"/yd |
2,059 |
1,974 |
$39K |
| E2601 |
Gen w/c cushion wdth < 22 in |
2,048 |
2,010 |
$39K |
| B4036 |
Enteral feed sup kit grav by |
1,264 |
1,225 |
$38K |
| A4402 |
Lubricant per ounce |
10,826 |
10,589 |
$37K |
| A6219 |
Gauze <= 16 sq in w/border |
1,102 |
1,034 |
$36K |
| A4310 |
Insert tray w/o bag/cath |
4,195 |
4,105 |
$35K |
| E0305 |
Rails bed side half length |
4,859 |
4,829 |
$35K |
| E1028 |
W/c manual swingaway |
518 |
353 |
$35K |
| A4419 |
Ost pch for bar w flange/flt |
786 |
750 |
$33K |
| E2603 |
Skin protect wc cus wd <22in |
1,602 |
1,581 |
$33K |
| A4605 |
Trach suction cath close sys |
723 |
699 |
$32K |
| A7031 |
Replacement facemask interfa |
1,947 |
1,923 |
$32K |
| E0241 |
Bath tub wall rail |
2,951 |
2,516 |
$31K |
| E0297 |
Hosp bed total elect w/o mat |
1,036 |
1,035 |
$30K |
| B4153 |
Ef hydrolyzed/amino acids |
298 |
292 |
$29K |
| K0739 |
Repair/svc dme non-oxygen eq |
307 |
299 |
$28K |
| A6248 |
Hydrogel drsg gel filler |
879 |
855 |
$28K |
| A6010 |
Collagen based wound filler |
241 |
239 |
$26K |
| E1639 |
Scale, each |
540 |
538 |
$24K |
| A4344 |
Cath indw foley 2 way silicn |
886 |
866 |
$23K |
| A4367 |
Ostomy belt |
4,285 |
4,180 |
$23K |
| A7039 |
Filter, non disposable w pap |
5,498 |
5,439 |
$21K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
1,183 |
1,153 |
$20K |
| E0185 |
Gel pressure mattress pad |
1,208 |
1,179 |
$20K |
| E2209 |
Arm trough each |
1,704 |
1,663 |
$19K |
| B4034 |
Enter feed supkit syr by day |
3,735 |
3,697 |
$19K |
| A4333 |
Urinary cath anchor device |
2,078 |
2,016 |
$18K |
| A4314 |
Cath w/drainage 2-way latex |
344 |
341 |
$16K |
| T4529 |
Ped size brief/diaper sm/med |
330 |
329 |
$16K |
| E0243 |
Toilet rail |
617 |
609 |
$15K |
| E0181 |
Press pad alternating w/ pum |
1,657 |
1,646 |
$15K |
| E0955 |
Cushioned headrest |
265 |
257 |
$15K |
| A7033 |
Replacement nasal pillows |
1,508 |
1,479 |
$13K |
| A7032 |
Replacement nasal cushion |
1,818 |
1,787 |
$13K |
| A4246 |
Betadine/phisohex solution |
1,595 |
1,561 |
$12K |
| A4410 |
Ost skn barr extnd >4 sq |
185 |
184 |
$12K |
| A6443 |
Conform band n/s w>=3"<5"/yd |
895 |
865 |
$12K |
| A4253 |
Blood glucose/reagent strips |
545 |
428 |
$11K |
| A7003 |
Nebulizer administration set |
3,369 |
3,282 |
$10K |
| E0910 |
Trapeze bar attached to bed |
1,722 |
1,706 |
$9K |
| A7525 |
Tracheostomy mask |
2,538 |
2,438 |
$9K |
| E2365 |
U1 sealed leadacid battery |
127 |
93 |
$9K |
| K0040 |
Adjustable angle footplate |
162 |
131 |
$8K |
| A4427 |
Ost pch drain/barr lk flng/f |
251 |
250 |
$8K |
| A4332 |
Lube sterile packet |
2,606 |
2,551 |
$7K |
| E0705 |
Transfer device |
260 |
254 |
$7K |
| A7036 |
Pos airway press chinstrap |
1,156 |
1,145 |
$7K |
| A4247 |
Betadine/iodine swabs/wipes |
585 |
568 |
$6K |
| A4455 |
Adhesive remover per ounce |
1,168 |
1,157 |
$6K |
| A4213 |
20+ cc syringe only |
3,093 |
2,769 |
$6K |
| E1232 |
Folding ped wc tilt-in-space |
65 |
65 |
$6K |
| A4520 |
Incontinence garment anytype |
2,185 |
2,180 |
$5K |
| A6456 |
Zinc paste band w >=3"<5"/yd |
41 |
38 |
$5K |
| E0482 |
Cough stimulating device |
45 |
45 |
$5K |
| E0154 |
Walker platform attachment |
189 |
163 |
$5K |
| E0960 |
W/c shoulder harness/straps |
70 |
70 |
$4K |
| E0135 |
Walker folding adjust/fixed |
222 |
216 |
$4K |
| E2374 |
Hand/chin ctrl std joystick |
29 |
25 |
$4K |
| A6457 |
Tubular dressing |
138 |
133 |
$4K |
| A7010 |
Disposable corrugated tubing |
420 |
393 |
$4K |
| A6261 |
Wound filler gel/paste /oz |
196 |
190 |
$3K |
| A4373 |
Skin barrier with flange |
39 |
36 |
$3K |
| A6257 |
Transparent film <= 16 sq in |
185 |
184 |
$3K |
| A4320 |
Irrigation tray |
128 |
127 |
$3K |
| A7012 |
Nebulizer water collec devic |
537 |
511 |
$3K |
| B4087 |
Gastro/jejuno tube, std |
94 |
93 |
$3K |
| A4259 |
Lancets per box |
534 |
420 |
$3K |
| Q0513 |
Disp fee inhal drugs/30 days |
191 |
188 |
$3K |
| B4081 |
Enteral ng tubing w/ stylet |
437 |
421 |
$3K |
| E1039 |
Transport chair pt wt >300lb |
139 |
139 |
$2K |
| A6455 |
Self-adher band >=5"/yd |
50 |
49 |
$2K |
| A4405 |
Nonpectin based ostomy paste |
490 |
478 |
$2K |
| A6403 |
Sterile gauze>16 <= 48 sq in |
64 |
64 |
$2K |
| E0621 |
Patient lift sling or seat |
462 |
460 |
$2K |
| L4360 |
Pneumat walking boot pre cst |
12 |
12 |
$2K |
| A6453 |
Self-adher band w <3"/yd |
37 |
36 |
$2K |
| E2208 |
Cylinder tank carrier |
327 |
314 |
$2K |
| A4369 |
Skin barrier liquid per oz |
366 |
358 |
$2K |
| E0966 |
Wheelchair head rest extensi |
40 |
40 |
$1K |
| A6203 |
Composite drsg <= 16 sq in |
13 |
12 |
$1K |
| E0246 |
Transfer tub rail attachment |
970 |
941 |
$1K |
| A6220 |
Gauze >16 <=48 sq in w/bordr |
14 |
14 |
$1K |
| E0961 |
Wheelchair brake extension |
921 |
898 |
$1K |
| A6240 |
Hydrocolld drg filler paste |
40 |
37 |
$1K |
| B4155 |
Ef incomplete/modular |
1,093 |
1,034 |
$1K |
| A4331 |
Extension drainage tubing |
278 |
274 |
$911.70 |
| E0950 |
Tray |
28 |
28 |
$867.60 |
| E0940 |
Trapeze bar free standing |
51 |
49 |
$815.82 |
| A6407 |
Packing strips, non-impreg |
36 |
36 |
$758.81 |
| A4216 |
Sterile water/saline, 10 ml |
96 |
95 |
$724.86 |
| A7015 |
Aerosol mask used w nebulize |
46 |
44 |
$585.43 |
| J7613 |
Albuterol non-comp unit |
135 |
133 |
$530.80 |
| A7007 |
Lg vol nebulizer disposable |
186 |
174 |
$516.02 |
| A4364 |
Adhesive, liquid or equal |
24 |
24 |
$394.19 |
| A6449 |
Lt compres band >=3" <5"/yd |
94 |
93 |
$277.93 |
| E0190 |
Positioning cushion |
14 |
13 |
$169.90 |
| A6235 |
Hydrocolld drg >16<=48 w/o b |
12 |
12 |
$167.81 |
| A7020 |
Interface, cough stim device |
12 |
12 |
$119.98 |
| K0053 |
Elevate footrest articulate |
13 |
13 |
$63.09 |
| A9286 |
Any hygienic item, device |
366 |
364 |
$16.12 |
| K0738 |
Portable gas oxygen system |
52 |
52 |
$7.40 |
| B4100 |
Food thickener oral |
1,033 |
1,021 |
$0.00 |
| S9343 |
Hit enteral bolus nurs |
850 |
846 |
$0.00 |
| S9342 |
Hit enteral pump diem |
734 |
729 |
$0.00 |
| 99199 |
|
142 |
141 |
$0.00 |