| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0194 |
Air fluidized bed |
4,453 |
3,254 |
$5.67M |
| E0277 |
Powered pres-redu air mattrs |
9,861 |
7,051 |
$1.70M |
| E0730 |
Tens four lead |
4,517 |
3,525 |
$303K |
| L0631 |
Lso sag r an/pos pnl pre cst |
237 |
235 |
$174K |
| E2402 |
Neg press wound therapy pump |
318 |
237 |
$114K |
| A4595 |
Tens suppl 2 lead per month |
3,213 |
2,435 |
$90K |
| E0260 |
Hosp bed semi-electr w/ matt |
3,091 |
2,144 |
$77K |
| E0261 |
Hosp bed semi-electr w/o mat |
3,683 |
2,791 |
$73K |
| E0630 |
Patient lift hydraulic |
1,500 |
1,103 |
$39K |
| E0372 |
Powered air mattress overlay |
167 |
124 |
$34K |
| E0185 |
Gel pressure mattress pad |
196 |
155 |
$14K |
| A6550 |
Neg pres wound ther drsg set |
220 |
124 |
$13K |
| E1035 |
Patient transfer system <300 |
468 |
317 |
$12K |
| E0910 |
Trapeze bar attached to bed |
1,855 |
1,456 |
$12K |
| L0635 |
Lso sagit rigid panel prefab |
18 |
12 |
$11K |
| L0648 |
Lso sag r an/pos pnl pre ots |
111 |
56 |
$8K |
| E0303 |
Hosp bed hvy dty xtra wide |
52 |
37 |
$5K |
| E0745 |
Neuromuscular stim for shock |
220 |
203 |
$3K |
| A7000 |
Disposable canister for pump |
221 |
140 |
$3K |
| E0849 |
Cervical pneum trac equip |
15 |
12 |
$92.11 |