| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
1,919 |
1,797 |
$104K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
414 |
407 |
$48K |
| A4287 |
Disposable collection and storage bag for breast milk, any size, any type, each |
235 |
226 |
$9K |
| K0003 |
Lightweight wheelchair |
80 |
79 |
$5K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
95 |
24 |
$4K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
32 |
26 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
13 |
$981.52 |