| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4595 |
Tens suppl 2 lead per month |
106,011 |
104,538 |
$6.44M |
| E0730 |
Tens four lead |
11,107 |
10,955 |
$1.52M |
| L0650 |
Lso sc r ant/pos pnl pre ots |
1,375 |
1,373 |
$772K |
| L1833 |
Ko adj jnt pos r sup pre ots |
1,683 |
1,489 |
$598K |
| A6549 |
Grad com garm noc day use |
2,218 |
2,162 |
$522K |
| E0240 |
Bath/shower chair |
6,786 |
6,596 |
$513K |
| T4541 |
Large disposable underpad |
8,751 |
8,263 |
$483K |
| K0001 |
Standard wheelchair |
15,731 |
15,419 |
$466K |
| T4535 |
Disposable liner/shield/pad |
5,733 |
5,291 |
$387K |
| E0143 |
Walker folding wheeled w/o s |
8,091 |
7,868 |
$359K |
| K0003 |
Lightweight wheelchair |
7,387 |
7,234 |
$311K |
| E0118 |
Crutch substitute |
1,439 |
1,437 |
$256K |
| T4527 |
Adult size pull-on lg |
3,333 |
3,125 |
$250K |
| T4526 |
Adult size pull-on med |
3,463 |
3,276 |
$195K |
| T4528 |
Adult size pull-on xl |
2,485 |
2,280 |
$186K |
| A4670 |
Automatic bp monitor, dial |
3,433 |
3,349 |
$185K |
| E0295 |
Hosp bed semi-elect w/o matt |
3,264 |
3,252 |
$178K |
| L3908 |
Who cock-up nonmolde pre ots |
4,772 |
3,221 |
$172K |
| L3809 |
Whfo w/o joints pre ots |
1,347 |
1,017 |
$156K |
| L2810 |
Knee control condylar pad |
1,625 |
1,507 |
$131K |
| K0006 |
Heavy duty wheelchair |
1,871 |
1,842 |
$126K |
| A6545 |
Grad com non-elastic bk surg |
448 |
437 |
$126K |
| T4524 |
Adult size brief/diaper xl |
1,394 |
1,306 |
$125K |
| T4537 |
Reusable underpad bed size |
1,576 |
1,513 |
$121K |
| T4523 |
Adult size brief/diaper lg |
1,303 |
1,215 |
$112K |
| E0156 |
Walker seat attachment |
7,510 |
7,295 |
$86K |
| E0163 |
Commode chair with fixed arm |
1,406 |
1,396 |
$70K |
| A4927 |
Non-sterile gloves |
2,667 |
2,365 |
$68K |
| T4525 |
Adult size pull-on sm |
1,007 |
965 |
$66K |
| E2611 |
Gen use back cush wdth <22in |
340 |
329 |
$60K |
| E0603 |
Electric breast pump |
969 |
968 |
$60K |
| E0149 |
Heavy duty wheeled walker |
1,513 |
1,481 |
$55K |
| E0310 |
Rails bed side full length |
2,516 |
2,507 |
$41K |
| E2603 |
Skin protect wc cus wd <22in |
432 |
420 |
$37K |
| E0105 |
Cane adjust/fixed quad/3 pro |
1,500 |
1,486 |
$34K |
| L1851 |
Ko single upright prefab ots |
93 |
69 |
$33K |
| A4520 |
Incontinence garment anytype |
211 |
204 |
$32K |
| T4522 |
Adult size brief/diaper med |
952 |
849 |
$31K |
| K0195 |
Elevating whlchair leg rests |
1,349 |
1,326 |
$29K |
| E0271 |
Mattress innerspring |
814 |
801 |
$26K |
| E0244 |
Toilet seat raised |
791 |
766 |
$25K |
| L0621 |
Sio flex pelvic/sacr pre ots |
463 |
462 |
$23K |
| E0100 |
Cane adjust/fixed with tip |
2,424 |
2,417 |
$23K |
| A4554 |
Disposable underpads |
227 |
210 |
$16K |
| E0445 |
Oximeter non-invasive |
180 |
180 |
$14K |
| E0114 |
Crutch underarm pair no wood |
513 |
509 |
$13K |
| L4361 |
Pneuma/vac walk boot pre ots |
68 |
67 |
$12K |
| E0630 |
Patient lift hydraulic |
243 |
235 |
$11K |
| E1639 |
Scale, each |
249 |
248 |
$10K |
| E1038 |
Transport chair pt wt<=300lb |
369 |
363 |
$8K |
| E0247 |
Trans bench w/wo comm open |
82 |
82 |
$5K |
| L0457 |
Tlso flex trnk sj-ss pre ots |
13 |
13 |
$4K |
| E0241 |
Bath tub wall rail |
359 |
346 |
$4K |
| E0210 |
Electric heat pad standard |
240 |
240 |
$4K |
| E0277 |
Powered pres-redu air mattrs |
198 |
196 |
$4K |
| E0305 |
Rails bed side half length |
402 |
401 |
$3K |
| K0739 |
Repair/svc dme non-oxygen eq |
166 |
141 |
$2K |
| E0261 |
Hosp bed semi-electr w/o mat |
118 |
118 |
$2K |
| L1812 |
Ko elastic w/joints pre ots |
32 |
28 |
$2K |
| L1906 |
Afo multilig ank sup pre ots |
30 |
28 |
$2K |
| E0185 |
Gel pressure mattress pad |
86 |
86 |
$2K |
| E0635 |
Patient lift electric |
24 |
24 |
$2K |
| E0159 |
Brake for wheeled walker |
174 |
173 |
$2K |
| L0625 |
Lo flex l1-below l5 pre ots |
65 |
65 |
$1K |
| L1820 |
Ko elas w/ condyle pads & jo |
17 |
13 |
$941.79 |
| E0215 |
Electric heat pad moist |
16 |
16 |
$870.08 |
| E0190 |
Positioning cushion |
34 |
34 |
$849.57 |
| E0245 |
Tub stool or bench |
15 |
15 |
$572.73 |
| E0260 |
Hosp bed semi-electr w/ matt |
38 |
38 |
$557.08 |
| E0246 |
Transfer tub rail attachment |
27 |
26 |
$513.98 |
| A5120 |
Skin barrier, wipe or swab |
25 |
24 |
$427.18 |
| A6250 |
Skin seal protect moisturizr |
2,065 |
1,827 |
$315.10 |
| A4335 |
Incontinence supply |
1,688 |
1,574 |
$51.19 |