| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
250 |
249 |
$30K |
| 87811 |
|
819 |
720 |
$29K |
| E0570 |
Nebulizer with compression |
899 |
888 |
$21K |
| L0625 |
Lo flex l1-below l5 pre ots |
441 |
433 |
$20K |
| G2023 |
Specimen collect covid-19 |
920 |
797 |
$18K |
| A6530 |
Compression stocking bk18-30 |
156 |
151 |
$16K |
| B4150 |
Ef complet w/intact nutrient |
118 |
114 |
$15K |
| A7005 |
Nondisposable nebulizer set |
284 |
281 |
$8K |
| T4541 |
Large disposable underpad |
94 |
94 |
$7K |
| E0118 |
Crutch substitute |
378 |
372 |
$7K |
| T4528 |
Adult size pull-on xl |
53 |
52 |
$5K |
| A4670 |
Automatic bp monitor, dial |
100 |
97 |
$5K |
| E0245 |
Tub stool or bench |
28 |
28 |
$2K |
| T4535 |
Disposable liner/shield/pad |
65 |
64 |
$1K |
| T4526 |
Adult size pull-on med |
15 |
14 |
$1K |
| A4927 |
Non-sterile gloves |
136 |
135 |
$1K |
| E0605 |
Vaporizer room type |
41 |
41 |
$1K |
| A7015 |
Aerosol mask used w nebulize |
417 |
415 |
$683.68 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$420.96 |
| A7013 |
Disposable compressor filter |
319 |
317 |
$282.96 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$59.26 |