| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
868 |
831 |
$140K |
| E0570 |
Nebulizer with compression |
2,434 |
1,857 |
$85K |
| E1390 |
Oxygen concentrator |
1,314 |
1,203 |
$59K |
| A4670 |
Automatic bp monitor, dial |
891 |
785 |
$49K |
| K0001 |
Standard wheelchair |
3,550 |
2,428 |
$49K |
| E0260 |
Hosp bed semi-electr w/ matt |
906 |
595 |
$19K |
| A5500 |
Diab shoe for density insert |
378 |
249 |
$15K |
| E0143 |
Walker folding wheeled w/o s |
612 |
577 |
$13K |
| E0431 |
Portable gaseous 02 |
1,229 |
1,098 |
$10K |
| A5512 |
Multi den insert direct form |
541 |
315 |
$8K |
| A7003 |
Nebulizer administration set |
747 |
678 |
$2K |
| A5513 |
Multi den insert custom mold |
92 |
43 |
$2K |
| A6530 |
Compression stocking bk18-30 |
83 |
56 |
$2K |
| E0156 |
Walker seat attachment |
177 |
166 |
$1K |
| L3908 |
Who cock-up nonmolde pre ots |
24 |
24 |
$1K |
| L1810 |
Ko elastic with joints |
15 |
14 |
$835.64 |
| A7015 |
Aerosol mask used w nebulize |
213 |
200 |
$345.94 |
| A7038 |
Pos airway pressure filter |
12 |
12 |
$30.98 |