| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
517 |
506 |
$18K |
| E1390 |
Oxygen concentrator |
228 |
219 |
$17K |
| A7030 |
Cpap full face mask |
27 |
27 |
$4K |
| A7005 |
Nondisposable nebulizer set |
139 |
137 |
$4K |
| A6530 |
Compression stocking bk18-30 |
34 |
33 |
$4K |
| E0562 |
Humidifier heated used w pap |
54 |
54 |
$3K |
| A4253 |
Blood glucose/reagent strips |
93 |
73 |
$3K |
| E0605 |
Vaporizer room type |
97 |
97 |
$2K |
| A7035 |
Pos airway press headgear |
64 |
64 |
$2K |
| E0601 |
Cont airway pressure device |
54 |
54 |
$2K |
| A7037 |
Pos airway pressure tubing |
62 |
61 |
$2K |
| A7038 |
Pos airway pressure filter |
108 |
108 |
$920.79 |
| A7015 |
Aerosol mask used w nebulize |
146 |
138 |
$195.72 |
| A7046 |
Repl water chamber, pap dev |
15 |
13 |
$158.37 |
| A7013 |
Disposable compressor filter |
111 |
111 |
$83.98 |