| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
2,454 |
1,731 |
$105K |
| E0570 |
Nebulizer, with compressor |
932 |
931 |
$95K |
| E1399 |
Durable medical equipment, miscellaneous |
497 |
450 |
$66K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
880 |
781 |
$41K |
| K0001 |
Standard wheelchair |
1,012 |
978 |
$32K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
602 |
599 |
$28K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
369 |
364 |
$25K |
| A4554 |
Disposable underpads, all sizes |
586 |
544 |
$24K |
| A4670 |
Automatic blood pressure monitor |
465 |
457 |
$21K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
184 |
182 |
$6K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
168 |
167 |
$5K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
51 |
51 |
$4K |
| E0156 |
Seat attachment, walker |
246 |
245 |
$4K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
36 |
36 |
$4K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
26 |
25 |
$2K |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
49 |
48 |
$2K |
| A6531 |
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
15 |
13 |
$765.96 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
14 |
13 |
$277.88 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
25 |
25 |
$225.72 |
| A4927 |
Gloves, non-sterile, per 100 |
28 |
26 |
$110.69 |