| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4670 |
Automatic bp monitor, dial |
6,677 |
6,241 |
$333K |
| T4534 |
Youth size pull-on |
1,050 |
892 |
$109K |
| T4527 |
Adult size pull-on lg |
1,132 |
1,052 |
$106K |
| E0570 |
Nebulizer with compression |
2,033 |
1,950 |
$98K |
| T4541 |
Large disposable underpad |
1,995 |
1,783 |
$79K |
| T4528 |
Adult size pull-on xl |
823 |
733 |
$71K |
| E0603 |
Electric breast pump |
795 |
591 |
$66K |
| A4253 |
Blood glucose/reagent strips |
1,181 |
1,111 |
$41K |
| L3908 |
Who cock-up nonmolde pre ots |
636 |
588 |
$37K |
| A6530 |
Compression stocking bk18-30 |
588 |
537 |
$35K |
| T4535 |
Disposable liner/shield/pad |
630 |
566 |
$26K |
| E0143 |
Walker folding wheeled w/o s |
974 |
920 |
$23K |
| T4526 |
Adult size pull-on med |
207 |
192 |
$19K |
| A4927 |
Non-sterile gloves |
1,091 |
970 |
$16K |
| L0628 |
Lso flex no ri stays pre ots |
264 |
248 |
$13K |
| T4522 |
Adult size brief/diaper med |
85 |
83 |
$7K |
| E0156 |
Walker seat attachment |
419 |
393 |
$6K |
| E0245 |
Tub stool or bench |
75 |
69 |
$5K |
| L1812 |
Ko elastic w/joints pre ots |
69 |
65 |
$5K |
| T4523 |
Adult size brief/diaper lg |
43 |
40 |
$4K |
| E0100 |
Cane adjust/fixed with tip |
246 |
234 |
$3K |
| A4259 |
Lancets per box |
422 |
391 |
$3K |
| E0605 |
Vaporizer room type |
99 |
96 |
$2K |
| E0607 |
Blood glucose monitor home |
28 |
28 |
$1K |
| A6533 |
Gc stocking thighlngth 18-30 |
13 |
12 |
$940.50 |
| A7005 |
Nondisposable nebulizer set |
32 |
32 |
$576.00 |