| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
3,081 |
1,708 |
$17K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,354 |
895 |
$14K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
180 |
126 |
$5K |
| E0570 |
Nebulizer, with compressor |
83 |
49 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
19 |
12 |
$374.61 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
43 |
14 |
$80.45 |
| E0156 |
Seat attachment, walker |
19 |
12 |
$75.06 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
14 |
12 |
$45.23 |