| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
288 |
279 |
$27K |
| L0621 |
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf |
12 |
12 |
$787.45 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
19 |
12 |
$783.01 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$106.82 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
26 |
26 |
$38.89 |