| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
2,653 |
2,150 |
$92K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
193 |
171 |
$76K |
| L0642 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
399 |
381 |
$56K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
93 |
92 |
$33K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
395 |
247 |
$30K |
| A4670 |
Automatic blood pressure monitor |
821 |
795 |
$27K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
90 |
52 |
$25K |
| K0003 |
Lightweight wheelchair |
1,121 |
926 |
$19K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
176 |
114 |
$10K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
226 |
203 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
356 |
276 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,267 |
1,058 |
$5K |
| E0245 |
Tub stool or bench |
43 |
43 |
$4K |
| E0156 |
Seat attachment, walker |
234 |
207 |
$2K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
13 |
13 |
$512.70 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
266 |
257 |
$245.44 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
103 |
99 |
$176.30 |