| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4670 |
Automatic bp monitor, dial |
675 |
665 |
$41K |
| E1390 |
Oxygen concentrator |
626 |
623 |
$29K |
| E0570 |
Nebulizer with compression |
1,440 |
1,424 |
$27K |
| A7005 |
Nondisposable nebulizer set |
542 |
530 |
$15K |
| G2023 |
Specimen collect covid-19 |
620 |
531 |
$13K |
| 87811 |
|
342 |
298 |
$13K |
| A6530 |
Compression stocking bk18-30 |
133 |
131 |
$10K |
| E0601 |
Cont airway pressure device |
94 |
93 |
$5K |
| E0562 |
Humidifier heated used w pap |
80 |
79 |
$3K |
| E0605 |
Vaporizer room type |
66 |
64 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
680 |
665 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
42 |
40 |
$861.25 |
| A7038 |
Pos airway pressure filter |
83 |
82 |
$709.60 |
| A7013 |
Disposable compressor filter |
639 |
626 |
$532.79 |
| A7035 |
Pos airway press headgear |
12 |
12 |
$370.95 |
| 87426 |
|
12 |
12 |
$210.21 |
| A7003 |
Nebulizer administration set |
44 |
42 |
$116.55 |
| 0001A |
|
21 |
21 |
$0.00 |
| 0002A |
|
22 |
22 |
$0.00 |