| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2402 |
Neg press wound therapy pump |
2,565 |
2,227 |
$852K |
| E0277 |
Powered pres-redu air mattrs |
2,401 |
2,147 |
$306K |
| A6550 |
Neg pres wound ther drsg set |
2,670 |
1,937 |
$245K |
| A7000 |
Disposable canister for pump |
2,582 |
1,885 |
$93K |
| E1035 |
Patient transfer system <300 |
975 |
919 |
$73K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,979 |
1,807 |
$46K |
| A6196 |
Alginate dressing <=16 sq in |
153 |
111 |
$8K |
| E0256 |
Hospital bed var ht w/o matt |
15 |
14 |
$977.83 |
| A6402 |
Sterile gauze <= 16 sq in |
254 |
213 |
$863.74 |
| A6446 |
Conform band s w>=3" <5"/yd |
41 |
36 |
$555.76 |
| A4450 |
Non-waterproof tape |
17 |
16 |
$36.80 |
| A6260 |
Wound cleanser any type/size |
17 |
15 |
$0.24 |