| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A7030 |
Cpap full face mask |
1,671 |
1,565 |
$200K |
| A7034 |
Nasal application device |
1,924 |
1,768 |
$148K |
| E0601 |
Cont airway pressure device |
1,805 |
1,642 |
$141K |
| L4361 |
Pneuma/vac walk boot pre ots |
569 |
542 |
$137K |
| E0570 |
Nebulizer with compression |
2,146 |
2,057 |
$137K |
| L3670 |
So acro/clav can web pre ots |
633 |
601 |
$86K |
| L3908 |
Who cock-up nonmolde pre ots |
1,020 |
881 |
$81K |
| A7035 |
Pos airway press headgear |
2,860 |
2,642 |
$77K |
| A4604 |
Tubing with heating element |
1,972 |
1,904 |
$74K |
| A7031 |
Replacement facemask interfa |
1,657 |
1,548 |
$69K |
| E1390 |
Oxygen concentrator |
1,019 |
986 |
$60K |
| A7032 |
Replacement nasal cushion |
1,437 |
1,309 |
$50K |
| A7037 |
Pos airway pressure tubing |
1,680 |
1,495 |
$45K |
| E0114 |
Crutch underarm pair no wood |
751 |
718 |
$36K |
| E0562 |
Humidifier heated used w pap |
283 |
257 |
$26K |
| L3809 |
Whfo w/o joints pre ots |
123 |
110 |
$22K |
| A7005 |
Nondisposable nebulizer set |
989 |
936 |
$21K |
| A7038 |
Pos airway pressure filter |
4,061 |
3,749 |
$16K |
| L1812 |
Ko elastic w/joints pre ots |
108 |
97 |
$12K |
| A7039 |
Filter, non disposable w pap |
1,197 |
1,169 |
$9K |
| A7033 |
Replacement nasal pillows |
308 |
290 |
$8K |
| L1833 |
Ko adj jnt pos r sup pre ots |
15 |
14 |
$6K |
| E1392 |
Portable oxygen concentrator |
185 |
182 |
$3K |
| L0625 |
Lo flex l1-below l5 pre ots |
12 |
12 |
$588.16 |