| 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 |
1,565 |
936 |
$60K |
| 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 |
1,594 |
955 |
$53K |
| E0570 |
Nebulizer, with compressor |
1,022 |
885 |
$38K |
| K0001 |
Standard wheelchair |
1,590 |
1,221 |
$12K |
| E0601 |
Continuous positive airway pressure (cpap) device |
225 |
138 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
30 |
28 |
$663.53 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
13 |
13 |
$495.00 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
21 |
12 |
$280.92 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
223 |
196 |
$254.00 |
| E0156 |
Seat attachment, walker |
15 |
14 |
$106.74 |