| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0648 |
Lso sag r an/pos pnl pre ots |
771 |
751 |
$320K |
| E0570 |
Nebulizer with compression |
2,103 |
2,068 |
$164K |
| L1833 |
Ko adj jnt pos r sup pre ots |
588 |
448 |
$154K |
| E0603 |
Electric breast pump |
718 |
704 |
$69K |
| E0745 |
Neuromuscular stim for shock |
34 |
34 |
$12K |
| L0627 |
Lo sag ri an/pos pnl pre cst |
97 |
81 |
$9K |
| E0619 |
Apnea monitor w recorder |
47 |
47 |
$9K |
| A7005 |
Nondisposable nebulizer set |
1,057 |
1,053 |
$9K |
| E0604 |
Hosp grade elec breast pump |
347 |
328 |
$7K |
| E0730 |
Tens four lead |
141 |
133 |
$6K |
| E0731 |
Conductive garment for tens/ |
38 |
28 |
$5K |
| A4618 |
Breathing circuits |
1,060 |
1,058 |
$5K |
| L0631 |
Lso sag r an/pos pnl pre cst |
16 |
16 |
$5K |
| L1832 |
Ko adj jnt pos r sup pre cst |
17 |
16 |
$5K |
| A7015 |
Aerosol mask used w nebulize |
1,012 |
1,008 |
$997.04 |
| A4627 |
Spacer bag/reservoir |
79 |
77 |
$493.92 |
| A4282 |
Replacement breastpump adpt |
56 |
56 |
$180.00 |
| A4281 |
Replacement breastpump tube |
56 |
56 |
$120.00 |
| A4556 |
Electrodes, pair |
15 |
15 |
$118.53 |
| A4557 |
Lead wires, pair |
13 |
13 |
$87.73 |
| A4284 |
Replcmnt breast pump shield |
56 |
56 |
$81.60 |
| A4285 |
Replcmnt breast pump bottle |
57 |
57 |
$60.25 |
| A4283 |
Replacement breastpump cap |
56 |
56 |
$60.00 |
| A4286 |
Replcmnt breastpump lok ring |
56 |
56 |
$24.00 |