| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6530 |
Compression stocking bk18-30 |
710 |
554 |
$44K |
| K0001 |
Standard wheelchair |
1,177 |
1,113 |
$43K |
| E0570 |
Nebulizer with compression |
1,454 |
1,381 |
$43K |
| T4541 |
Large disposable underpad |
1,164 |
1,098 |
$40K |
| A4467 |
Belt strap sleev grmnt cover |
573 |
561 |
$21K |
| L3908 |
Who cock-up nonmolde pre ots |
414 |
385 |
$15K |
| A4670 |
Automatic bp monitor, dial |
278 |
273 |
$12K |
| A4927 |
Non-sterile gloves |
746 |
718 |
$10K |
| T4527 |
Adult size pull-on lg |
68 |
65 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
227 |
205 |
$8K |
| A4595 |
Tens suppl 2 lead per month |
272 |
267 |
$6K |
| T4528 |
Adult size pull-on xl |
30 |
27 |
$3K |
| T4526 |
Adult size pull-on med |
16 |
16 |
$2K |
| A7003 |
Nebulizer administration set |
568 |
549 |
$2K |
| E0245 |
Tub stool or bench |
29 |
28 |
$1K |
| L1820 |
Ko elas w/ condyle pads & jo |
13 |
12 |
$1K |
| E0156 |
Walker seat attachment |
129 |
121 |
$1K |
| E0100 |
Cane adjust/fixed with tip |
135 |
131 |
$988.12 |