| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
3,089 |
2,509 |
$35K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
388 |
350 |
$4K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
99 |
49 |
$3K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
284 |
225 |
$2K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
80 |
77 |
$1K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
30 |
26 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
285 |
255 |
$257.22 |
| A4456 |
Adhesive remover, wipes, any type, each |
69 |
52 |
$206.70 |
| K0001 |
Standard wheelchair |
26 |
24 |
$0.00 |