| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4670 |
Automatic bp monitor, dial |
1,314 |
1,260 |
$73K |
| T4541 |
Large disposable underpad |
1,041 |
986 |
$64K |
| K0001 |
Standard wheelchair |
1,215 |
1,161 |
$50K |
| E0603 |
Electric breast pump |
413 |
395 |
$44K |
| E0570 |
Nebulizer with compression |
476 |
460 |
$40K |
| B4150 |
Ef complet w/intact nutrient |
205 |
179 |
$27K |
| T4527 |
Adult size pull-on lg |
206 |
175 |
$25K |
| T4526 |
Adult size pull-on med |
173 |
151 |
$21K |
| T4535 |
Disposable liner/shield/pad |
465 |
443 |
$19K |
| A7005 |
Nondisposable nebulizer set |
607 |
584 |
$12K |
| E0260 |
Hosp bed semi-electr w/ matt |
171 |
149 |
$11K |
| A5500 |
Diab shoe for density insert |
53 |
52 |
$6K |
| T4528 |
Adult size pull-on xl |
27 |
26 |
$5K |
| A5512 |
Multi den insert direct form |
53 |
52 |
$3K |
| L3809 |
Whfo w/o joints pre ots |
16 |
12 |
$2K |
| A4927 |
Non-sterile gloves |
87 |
85 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
601 |
574 |
$1K |
| E0100 |
Cane adjust/fixed with tip |
20 |
18 |
$327.70 |
| E0156 |
Walker seat attachment |
12 |
12 |
$204.50 |