| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
1,476 |
1,373 |
$393K |
| A5500 |
Diab shoe for density insert |
1,325 |
1,249 |
$127K |
| A5513 |
Multi den insert custom mold |
554 |
535 |
$74K |
| A5512 |
Multi den insert direct form |
609 |
569 |
$46K |
| E0143 |
Walker folding wheeled w/o s |
392 |
369 |
$28K |
| E1150 |
Wheelchair standard w/ leg r |
43 |
40 |
$10K |
| A9278 |
External receiver, cgm sys |
13 |
13 |
$6K |
| E0570 |
Nebulizer with compression |
69 |
66 |
$4K |
| T4534 |
Youth size pull-on |
14 |
12 |
$2K |
| L4387 |
Non-pneum walk boot pre ots |
12 |
12 |
$1K |
| A7005 |
Nondisposable nebulizer set |
73 |
69 |
$1K |