| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5165 |
Home modifications; per service |
742 |
589 |
$1.69M |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
2,652 |
2,650 |
$439K |
| E1399 |
Durable medical equipment, miscellaneous |
442 |
396 |
$99K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
772 |
748 |
$55K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
833 |
819 |
$32K |
| K0004 |
High strength, lightweight wheelchair |
310 |
295 |
$30K |
| L0625 |
Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf |
732 |
730 |
$28K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
268 |
268 |
$10K |
| E0241 |
Bath tub wall rail, each |
203 |
134 |
$6K |
| E0570 |
Nebulizer, with compressor |
66 |
65 |
$6K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
146 |
112 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
77 |
77 |
$4K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
84 |
67 |
$4K |
| A4670 |
Automatic blood pressure monitor |
48 |
48 |
$2K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
12 |
12 |
$1K |
| E0243 |
Toilet rail, each |
17 |
15 |
$1K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
13 |
13 |
$882.14 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
26 |
24 |
$869.46 |
| E0156 |
Seat attachment, walker |
25 |
25 |
$389.09 |
| E0244 |
Raised toilet seat |
14 |
14 |
$288.41 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$200.75 |