| Code | Description | Claims | Beneficiaries | Total Paid |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
15,392 |
15,221 |
$2.20M |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
11,852 |
8,226 |
$1.64M |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
11,519 |
11,025 |
$530K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
3,208 |
3,190 |
$449K |
| A4554 |
Disposable underpads, all sizes |
9,876 |
9,830 |
$370K |
| A6533 |
Gradient compression stocking, thigh length, 18-30 mmhg, each |
1,384 |
1,119 |
$312K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,624 |
5,604 |
$242K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,745 |
1,729 |
$199K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,089 |
1,079 |
$167K |
| A4670 |
Automatic blood pressure monitor |
1,334 |
1,312 |
$71K |
| A4335 |
Incontinence supply; miscellaneous |
10,384 |
10,334 |
$54K |
| E0570 |
Nebulizer, with compressor |
377 |
374 |
$42K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
205 |
202 |
$31K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
171 |
168 |
$20K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
377 |
374 |
$7K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
205 |
202 |
$5K |
| A6539 |
Gradient compression stocking, waist length, 18-30 mmhg, each |
12 |
12 |
$1K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
28 |
28 |
$752.03 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
16 |
16 |
$0.00 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
15 |
15 |
$0.00 |