| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0745 |
Neuromuscular stim for shock |
329 |
329 |
$77K |
| E0731 |
Conductive garment for tens/ |
355 |
344 |
$62K |
| L0631 |
Lso sag r an/pos pnl pre cst |
203 |
203 |
$60K |
| L1832 |
Ko adj jnt pos r sup pre cst |
91 |
78 |
$28K |
| K0001 |
Standard wheelchair |
730 |
685 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
662 |
590 |
$8K |
| L4360 |
Pneumat walking boot pre cst |
61 |
60 |
$7K |
| L3915 |
Who nontorsion jnts pre cst |
20 |
13 |
$6K |
| L3807 |
Whfo w/o joints pre cst |
36 |
24 |
$5K |
| L2397 |
Suspension sleeve lower ext |
105 |
87 |
$5K |
| L2810 |
Knee control condylar pad |
98 |
82 |
$5K |
| A4670 |
Automatic bp monitor, dial |
174 |
173 |
$4K |
| E0445 |
Oximeter non-invasive |
12 |
12 |
$3K |
| L2840 |
Tibial length sock fx or equ |
46 |
45 |
$2K |
| E0630 |
Patient lift hydraulic |
121 |
118 |
$2K |
| E0295 |
Hosp bed semi-elect w/o matt |
196 |
182 |
$2K |
| E0570 |
Nebulizer with compression |
13 |
13 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
17 |
17 |
$1K |
| A6530 |
Compression stocking bk18-30 |
22 |
12 |
$1K |
| A4557 |
Lead wires, pair |
146 |
146 |
$939.10 |
| K0195 |
Elevating whlchair leg rests |
267 |
252 |
$852.22 |
| A4556 |
Electrodes, pair |
123 |
123 |
$850.83 |
| E0181 |
Press pad alternating w/ pum |
129 |
127 |
$380.84 |
| A4630 |
Repl bat t.e.n.s. own by pt |
45 |
45 |
$141.75 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$107.51 |