| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
43 |
43 |
$5K |
| E0585 |
Nebulizer, with compressor and heater |
34 |
34 |
$4K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
86 |
43 |
$4K |
| A4670 |
Automatic blood pressure monitor |
26 |
26 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
35 |
35 |
$346.11 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
35 |
35 |
$107.46 |
| A7015 |
Aerosol mask, used with dme nebulizer |
35 |
35 |
$25.08 |