| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
250 |
249 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
819 |
720 |
$29K |
| E0570 |
Nebulizer, with compressor |
899 |
888 |
$21K |
| 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 |
441 |
433 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
920 |
797 |
$18K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
156 |
151 |
$16K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
118 |
114 |
$15K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
284 |
281 |
$8K |
| T4541 |
Incontinence product, disposable underpad, large, each |
94 |
94 |
$7K |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
378 |
372 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
53 |
52 |
$5K |
| A4670 |
Automatic blood pressure monitor |
100 |
97 |
$5K |
| E0245 |
Tub stool or bench |
28 |
28 |
$2K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
65 |
64 |
$1K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
15 |
14 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
136 |
135 |
$1K |
| E0605 |
Vaporizer, room type |
41 |
41 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
417 |
415 |
$683.68 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$420.96 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
319 |
317 |
$282.96 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$59.26 |