| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
422 |
418 |
$88K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
740 |
730 |
$35K |
| S9999 |
Sales tax |
2,577 |
2,426 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
234 |
232 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
305 |
302 |
$18K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
455 |
454 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
741 |
730 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
300 |
297 |
$11K |
| E0570 |
Nebulizer, with compressor |
38 |
37 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
302 |
299 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
39 |
38 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
259 |
256 |
$520.56 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$446.51 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
25 |
25 |
$39.16 |