| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9999 |
Dme supply or accessory, nos |
2,634 |
2,414 |
$527K |
| A4253 |
Blood glucose/reagent strips |
356 |
343 |
$81K |
| E0245 |
Tub stool or bench |
721 |
689 |
$35K |
| B4150 |
Ef complet w/intact nutrient |
71 |
70 |
$31K |
| A6530 |
Compression stocking bk18-30 |
521 |
252 |
$31K |
| E0601 |
Cont airway pressure device |
527 |
524 |
$19K |
| A4215 |
Sterile needle |
221 |
214 |
$17K |
| E0562 |
Humidifier heated used w pap |
549 |
433 |
$12K |
| A4259 |
Lancets per box |
334 |
320 |
$10K |
| E0720 |
Tens two lead |
1,902 |
1,572 |
$8K |
| L3908 |
Who cock-up nonmolde pre ots |
166 |
114 |
$6K |
| E0570 |
Nebulizer with compression |
202 |
199 |
$6K |
| A4927 |
Non-sterile gloves |
88 |
87 |
$4K |
| E0143 |
Walker folding wheeled w/o s |
133 |
128 |
$4K |
| E0244 |
Toilet seat raised |
115 |
112 |
$4K |
| E0100 |
Cane adjust/fixed with tip |
170 |
167 |
$3K |
| A4670 |
Automatic bp monitor, dial |
33 |
33 |
$2K |
| A4256 |
Calibrator solution/chips |
140 |
132 |
$2K |
| E0241 |
Bath tub wall rail |
73 |
65 |
$2K |
| E0156 |
Walker seat attachment |
98 |
95 |
$2K |
| A9270 |
Non-covered item or service |
170 |
166 |
$1K |
| E1399 |
Durable medical equipment mi |
15 |
15 |
$906.89 |
| E0607 |
Blood glucose monitor home |
12 |
12 |
$726.24 |
| L0625 |
Lo flex l1-below l5 pre ots |
15 |
12 |
$557.93 |
| E0163 |
Commode chair with fixed arm |
15 |
15 |
$532.31 |
| A7003 |
Nebulizer administration set |
67 |
67 |
$241.95 |
| T1999 |
Noc retail items andsupplies |
12 |
12 |
$178.14 |
| A7015 |
Aerosol mask used w nebulize |
69 |
68 |
$106.16 |
| A4245 |
Alcohol wipes per box |
83 |
79 |
$0.00 |