| Code | Description | Claims | Beneficiaries | Total Paid |
| E0570 |
Nebulizer, with compressor |
2,819 |
2,648 |
$441K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
811 |
583 |
$35K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
852 |
808 |
$5K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
17 |
17 |
$4K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
28 |
27 |
$2K |
| K0001 |
Standard wheelchair |
37 |
37 |
$2K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
14 |
$1K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
38 |
38 |
$1K |