| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0277 |
Powered pressure-reducing air mattress |
19,664 |
17,267 |
$6.75M |
| E0372 |
Powered air overlay for mattress, standard mattress length and width |
829 |
739 |
$219K |
| A4623 |
Tracheostomy, inner cannula |
2,265 |
1,118 |
$69K |
| E0691 |
Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less |
397 |
371 |
$37K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
47 |
46 |
$4K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
14 |
14 |
$3K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
122 |
111 |
$3K |
| L3760 |
Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
30 |
30 |
$2K |
| L3960 |
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment |
35 |
32 |
$2K |
| E0667 |
Segmental pneumatic appliance for use with pneumatic compressor, full leg |
14 |
14 |
$1K |
| L3916 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf |
13 |
13 |
$869.25 |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
20 |
19 |
$624.00 |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
34 |
34 |
$210.69 |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
16 |
13 |
$72.96 |