| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
2,653 |
2,150 |
$92K |
| K0823 |
Pwc gp 2 std cap chair |
193 |
171 |
$76K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
399 |
381 |
$56K |
| L0648 |
Lso sag r an/pos pnl pre ots |
93 |
92 |
$33K |
| L3809 |
Whfo w/o joints pre ots |
395 |
247 |
$30K |
| A4670 |
Automatic bp monitor, dial |
821 |
795 |
$27K |
| L1833 |
Ko adj jnt pos r sup pre ots |
90 |
52 |
$25K |
| K0003 |
Lightweight wheelchair |
1,121 |
926 |
$19K |
| L1820 |
Ko elas w/ condyle pads & jo |
176 |
114 |
$10K |
| E0143 |
Walker folding wheeled w/o s |
226 |
203 |
$9K |
| E0260 |
Hosp bed semi-electr w/ matt |
356 |
276 |
$8K |
| K0195 |
Elevating whlchair leg rests |
1,267 |
1,058 |
$5K |
| E0245 |
Tub stool or bench |
43 |
43 |
$4K |
| E0156 |
Walker seat attachment |
234 |
207 |
$2K |
| E0445 |
Oximeter non-invasive |
13 |
13 |
$512.70 |
| A7004 |
Disposable nebulizer sml vol |
266 |
257 |
$245.44 |
| A7013 |
Disposable compressor filter |
103 |
99 |
$176.30 |