| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
710 |
554 |
$44K |
| K0001 |
Standard wheelchair |
1,177 |
1,113 |
$43K |
| E0570 |
Nebulizer, with compressor |
1,454 |
1,381 |
$43K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,164 |
1,098 |
$40K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
573 |
561 |
$21K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
414 |
385 |
$15K |
| A4670 |
Automatic blood pressure monitor |
278 |
273 |
$12K |
| A4927 |
Gloves, non-sterile, per 100 |
746 |
718 |
$10K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
68 |
65 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
227 |
205 |
$8K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
272 |
267 |
$6K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
30 |
27 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
16 |
16 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
568 |
549 |
$2K |
| E0245 |
Tub stool or bench |
29 |
28 |
$1K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
12 |
$1K |
| E0156 |
Seat attachment, walker |
129 |
121 |
$1K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
135 |
131 |
$988.12 |