| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
5,739 |
5,581 |
$557K |
| L0648 |
Lso sag r an/pos pnl pre ots |
397 |
367 |
$119K |
| L1833 |
Ko adj jnt pos r sup pre ots |
383 |
320 |
$92K |
| E0143 |
Walker folding wheeled w/o s |
1,002 |
966 |
$42K |
| A6530 |
Compression stocking bk18-30 |
631 |
597 |
$41K |
| A7005 |
Nondisposable nebulizer set |
1,835 |
1,791 |
$37K |
| E0245 |
Tub stool or bench |
493 |
479 |
$33K |
| A4554 |
Disposable underpads |
887 |
872 |
$33K |
| E0603 |
Electric breast pump |
303 |
301 |
$32K |
| A7006 |
Filtered nebulizer admin set |
3,540 |
3,448 |
$27K |
| T4527 |
Adult size pull-on lg |
239 |
236 |
$24K |
| A4670 |
Automatic bp monitor, dial |
844 |
838 |
$22K |
| L2397 |
Suspension sleeve lower ext |
359 |
314 |
$17K |
| K0001 |
Standard wheelchair |
1,064 |
1,048 |
$14K |
| E0163 |
Commode chair with fixed arm |
476 |
449 |
$13K |
| E0745 |
Neuromuscular stim for shock |
126 |
100 |
$12K |
| L3040 |
Ft arch suprt premold longit |
181 |
162 |
$11K |
| E1390 |
Oxygen concentrator |
213 |
193 |
$11K |
| A6533 |
Gc stocking thighlngth 18-30 |
158 |
85 |
$8K |
| L3809 |
Whfo w/o joints pre ots |
96 |
61 |
$7K |
| L3216 |
Orthoped ladies shoes dpth i |
97 |
86 |
$7K |
| A7015 |
Aerosol mask used w nebulize |
5,390 |
5,250 |
$6K |
| A7013 |
Disposable compressor filter |
5,386 |
5,247 |
$5K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
64 |
52 |
$5K |
| L1971 |
Afo w/ankle joint, prefab |
18 |
12 |
$3K |
| L1820 |
Ko elas w/ condyle pads & jo |
64 |
47 |
$3K |
| L3222 |
Mens shoes hightop depth inl |
28 |
24 |
$3K |
| E0730 |
Tens four lead |
27 |
26 |
$2K |
| T4526 |
Adult size pull-on med |
27 |
25 |
$2K |
| E0431 |
Portable gaseous 02 |
211 |
193 |
$2K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
14 |
14 |
$2K |
| L3675 |
So vest canvas/web pre ots |
14 |
12 |
$971.32 |
| A4595 |
Tens suppl 2 lead per month |
147 |
120 |
$924.92 |
| L1906 |
Afo multilig ank sup pre ots |
21 |
13 |
$802.06 |
| A5512 |
Multi den insert direct form |
52 |
26 |
$751.18 |
| A4557 |
Lead wires, pair |
140 |
114 |
$668.96 |
| A5500 |
Diab shoe for density insert |
52 |
26 |
$660.82 |
| K0195 |
Elevating whlchair leg rests |
160 |
153 |
$510.72 |