| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
30,806 |
30,377 |
$2.97M |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
17,144 |
16,686 |
$1.08M |
| E0570 |
Nebulizer, with compressor |
3,344 |
3,252 |
$330K |
| A4670 |
Automatic blood pressure monitor |
5,744 |
5,604 |
$322K |
| T4541 |
Incontinence product, disposable underpad, large, each |
4,926 |
4,681 |
$271K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
3,560 |
3,351 |
$249K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
2,063 |
1,975 |
$224K |
| L0628 |
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
4,381 |
4,273 |
$217K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,808 |
1,722 |
$144K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,405 |
1,365 |
$122K |
| 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 |
2,974 |
2,968 |
$110K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
1,674 |
1,593 |
$97K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
4,998 |
4,900 |
$88K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
1,227 |
1,118 |
$78K |
| A4259 |
Lancets, per box of 100 |
3,331 |
3,145 |
$51K |
| E0144 |
Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat |
347 |
335 |
$45K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
491 |
455 |
$33K |
| E0607 |
Home blood glucose monitor |
436 |
431 |
$28K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
143 |
134 |
$15K |
| L0626 |
Lumbar orthosis, sagittal control, with rigid posterior panel(s), 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 padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
704 |
687 |
$13K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
220 |
215 |
$12K |
| A4927 |
Gloves, non-sterile, per 100 |
618 |
570 |
$7K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,263 |
3,191 |
$4K |
| L1600 |
Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise |
38 |
38 |
$4K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
28 |
24 |
$2K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
12 |
12 |
$1K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
12 |
12 |
$681.57 |
| E0156 |
Seat attachment, walker |
53 |
52 |
$631.77 |
| A4258 |
Spring-powered device for lancet, each |
37 |
37 |
$512.89 |
| A4256 |
Normal, low and high calibrator solution / chips |
39 |
39 |
$353.02 |
| E0602 |
Breast pump, manual, any type |
18 |
12 |
$344.25 |
| K0001 |
Standard wheelchair |
12 |
12 |
$254.18 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
16 |
15 |
$176.82 |
| A4335 |
Incontinence supply; miscellaneous |
14 |
13 |
$88.08 |