| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2402 |
Neg press wound therapy pump |
297 |
235 |
$74K |
| E0277 |
Powered pres-redu air mattrs |
752 |
660 |
$57K |
| A6550 |
Neg pres wound ther drsg set |
267 |
193 |
$31K |
| E0373 |
Nonpowered pressure mattress |
257 |
228 |
$21K |
| E0261 |
Hosp bed semi-electr w/o mat |
455 |
393 |
$14K |
| E0260 |
Hosp bed semi-electr w/ matt |
573 |
518 |
$10K |
| A7000 |
Disposable canister for pump |
291 |
205 |
$6K |
| E0185 |
Gel pressure mattress pad |
67 |
56 |
$2K |
| E2622 |
Adj skin pro w/c cus wd<22in |
42 |
16 |
$2K |
| E0910 |
Trapeze bar attached to bed |
27 |
24 |
$117.71 |