| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
86 |
86 |
$21K |
| E0570 |
Nebulizer, with compressor |
306 |
258 |
$11K |
| K0003 |
Lightweight wheelchair |
340 |
282 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
227 |
188 |
$7K |
| A4670 |
Automatic blood pressure monitor |
170 |
163 |
$4K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
71 |
50 |
$3K |
| K0001 |
Standard wheelchair |
188 |
147 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
96 |
84 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
13 |
12 |
$794.82 |
| A4927 |
Gloves, non-sterile, per 100 |
36 |
36 |
$621.00 |
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
12 |
12 |
$167.09 |
| E0156 |
Seat attachment, walker |
39 |
29 |
$154.75 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
16 |
12 |
$64.57 |