| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0277 |
Powered pres-redu air mattrs |
19,664 |
17,267 |
$6.75M |
| E0372 |
Powered air mattress overlay |
829 |
739 |
$219K |
| A4623 |
Tracheostomy inner cannula |
2,265 |
1,118 |
$69K |
| E0691 |
Uvl pnl 2 sq ft or less |
397 |
371 |
$37K |
| L1971 |
Afo w/ankle joint, prefab |
47 |
46 |
$4K |
| E0651 |
Pneum compressor segmental |
14 |
14 |
$3K |
| K0553 |
Ther cgm supply allowance |
122 |
111 |
$3K |
| L3760 |
Eo adj jt prefab custom fit |
30 |
30 |
$2K |
| L3960 |
Sewho airplan desig abdu pos |
35 |
32 |
$2K |
| E0667 |
Seg pneumatic appl full leg |
14 |
14 |
$1K |
| L3916 |
Who nontorsion jnts pre ots |
13 |
13 |
$869.25 |
| K0554 |
Ther cgm receiver/monitor |
20 |
19 |
$624.00 |
| L2210 |
Dorsiflexion assist each joi |
34 |
34 |
$210.69 |
| A7521 |
Trach/laryn tube cuffed |
16 |
13 |
$72.96 |