| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
8,889 |
8,732 |
$482K |
| L0648 |
Lso sag r an/pos pnl pre ots |
1,120 |
1,054 |
$385K |
| L1833 |
Ko adj jnt pos r sup pre ots |
810 |
641 |
$159K |
| L3807 |
Whfo w/o joints pre cst |
1,157 |
1,040 |
$133K |
| E0745 |
Neuromuscular stim for shock |
378 |
365 |
$90K |
| E0731 |
Conductive garment for tens/ |
390 |
371 |
$58K |
| A7005 |
Nondisposable nebulizer set |
6,220 |
6,142 |
$52K |
| L4360 |
Pneumat walking boot pre cst |
456 |
444 |
$50K |
| L3002 |
Foot insert plastazote or eq |
489 |
257 |
$42K |
| E1390 |
Oxygen concentrator |
829 |
799 |
$41K |
| E0143 |
Walker folding wheeled w/o s |
1,027 |
999 |
$40K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,097 |
1,065 |
$34K |
| L3216 |
Orthoped ladies shoes dpth i |
527 |
354 |
$31K |
| A4618 |
Breathing circuits |
5,667 |
5,605 |
$26K |
| K0001 |
Standard wheelchair |
1,074 |
1,029 |
$26K |
| E0601 |
Cont airway pressure device |
693 |
690 |
$24K |
| A6530 |
Compression stocking bk18-30 |
334 |
278 |
$24K |
| E0114 |
Crutch underarm pair no wood |
445 |
435 |
$11K |
| E0730 |
Tens four lead |
50 |
49 |
$10K |
| L3030 |
Foot arch support remov prem |
104 |
70 |
$10K |
| E0431 |
Portable gaseous 02 |
770 |
731 |
$9K |
| K0195 |
Elevating whlchair leg rests |
656 |
635 |
$7K |
| E0562 |
Humidifier heated used w pap |
113 |
113 |
$6K |
| A7015 |
Aerosol mask used w nebulize |
6,538 |
6,450 |
$6K |
| A4670 |
Automatic bp monitor, dial |
248 |
231 |
$6K |
| A4351 |
Straight tip urine catheter |
54 |
49 |
$5K |
| L3221 |
Orthopedic mens shoes dpth i |
70 |
59 |
$5K |
| A7032 |
Replacement nasal cushion |
158 |
155 |
$5K |
| A4556 |
Electrodes, pair |
430 |
410 |
$5K |
| A4557 |
Lead wires, pair |
420 |
390 |
$4K |
| L0464 |
Tlso 4mod sacro-scap pre |
14 |
12 |
$4K |
| A7038 |
Pos airway pressure filter |
1,277 |
1,254 |
$3K |
| E0156 |
Walker seat attachment |
444 |
437 |
$3K |
| L3670 |
So acro/clav can web pre ots |
54 |
54 |
$3K |
| L1902 |
Afo ankle gauntlet pre ots |
65 |
64 |
$3K |
| A7035 |
Pos airway press headgear |
236 |
231 |
$3K |
| A5512 |
Multi den insert direct form |
359 |
181 |
$2K |
| A5500 |
Diab shoe for density insert |
360 |
183 |
$2K |
| E0245 |
Tub stool or bench |
28 |
25 |
$2K |
| A7034 |
Nasal application device |
55 |
55 |
$2K |
| A7031 |
Replacement facemask interfa |
76 |
75 |
$2K |
| A7037 |
Pos airway pressure tubing |
166 |
166 |
$1K |
| A4630 |
Repl bat t.e.n.s. own by pt |
383 |
370 |
$1K |
| A7030 |
Cpap full face mask |
14 |
12 |
$855.92 |
| A7039 |
Filter, non disposable w pap |
202 |
201 |
$779.94 |
| A4927 |
Non-sterile gloves |
54 |
48 |
$773.75 |
| A7003 |
Nebulizer administration set |
540 |
518 |
$536.59 |
| E0163 |
Commode chair with fixed arm |
12 |
12 |
$231.91 |
| A7046 |
Repl water chamber, pap dev |
24 |
24 |
$158.89 |
| A6402 |
Sterile gauze <= 16 sq in |
12 |
12 |
$103.60 |
| A4627 |
Spacer bag/reservoir |
12 |
12 |
$80.96 |