| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
3,748 |
3,724 |
$491K |
| E0601 |
Cont airway pressure device |
1,695 |
1,658 |
$67K |
| A7005 |
Nondisposable nebulizer set |
2,435 |
2,411 |
$56K |
| A7030 |
Cpap full face mask |
379 |
370 |
$38K |
| E0562 |
Humidifier heated used w pap |
946 |
910 |
$27K |
| A4604 |
Tubing with heating element |
534 |
523 |
$18K |
| K0001 |
Standard wheelchair |
479 |
473 |
$18K |
| A4627 |
Spacer bag/reservoir |
663 |
651 |
$9K |
| A7035 |
Pos airway press headgear |
421 |
410 |
$8K |
| K0195 |
Elevating whlchair leg rests |
611 |
605 |
$7K |
| A7031 |
Replacement facemask interfa |
184 |
178 |
$7K |
| A7015 |
Aerosol mask used w nebulize |
2,404 |
2,378 |
$4K |
| A7038 |
Pos airway pressure filter |
778 |
763 |
$4K |
| A7004 |
Disposable nebulizer sml vol |
2,317 |
2,297 |
$3K |
| A7034 |
Nasal application device |
39 |
39 |
$2K |
| E1390 |
Oxygen concentrator |
29 |
29 |
$2K |
| A7046 |
Repl water chamber, pap dev |
77 |
75 |
$838.95 |
| E0971 |
Wheelchair anti-tipping devi |
59 |
58 |
$386.76 |
| E0431 |
Portable gaseous 02 |
13 |
13 |
$146.57 |