| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
1,252 |
1,202 |
$50K |
| A4670 |
Automatic blood pressure monitor |
886 |
848 |
$34K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
254 |
240 |
$21K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
140 |
138 |
$18K |
| A4554 |
Disposable underpads, all sizes |
119 |
119 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
62 |
62 |
$924.10 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
597 |
569 |
$699.77 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
13 |
13 |
$592.83 |
| A7015 |
Aerosol mask, used with dme nebulizer |
590 |
564 |
$569.07 |