| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
22,326 |
16,108 |
$749K |
| E0562 |
Humidifier heated used w pap |
1,475 |
1,177 |
$228K |
| E0470 |
Rad w/o backup non-inv intfc |
2,372 |
1,659 |
$217K |
| A4554 |
Disposable underpads |
1,212 |
1,111 |
$40K |
| A7030 |
Cpap full face mask |
1,731 |
1,413 |
$39K |
| A4253 |
Blood glucose/reagent strips |
358 |
330 |
$27K |
| T4526 |
Adult size pull-on med |
270 |
257 |
$22K |
| A7038 |
Pos airway pressure filter |
3,378 |
2,774 |
$12K |
| E1390 |
Oxygen concentrator |
83 |
55 |
$11K |
| A7035 |
Pos airway press headgear |
2,022 |
1,638 |
$10K |
| A7037 |
Pos airway pressure tubing |
1,581 |
1,263 |
$8K |
| A4927 |
Non-sterile gloves |
696 |
602 |
$8K |
| A7032 |
Replacement nasal cushion |
485 |
406 |
$7K |
| T4535 |
Disposable liner/shield/pad |
111 |
106 |
$7K |
| A7034 |
Nasal application device |
1,306 |
1,087 |
$7K |
| A4604 |
Tubing with heating element |
1,318 |
1,116 |
$5K |
| A4259 |
Lancets per box |
284 |
261 |
$5K |
| A7031 |
Replacement facemask interfa |
1,828 |
1,488 |
$5K |
| T4527 |
Adult size pull-on lg |
25 |
24 |
$2K |
| E0607 |
Blood glucose monitor home |
12 |
12 |
$2K |
| A7039 |
Filter, non disposable w pap |
969 |
756 |
$1K |
| A7046 |
Repl water chamber, pap dev |
479 |
420 |
$926.86 |
| A7033 |
Replacement nasal pillows |
74 |
52 |
$778.41 |
| A4358 |
Urinary leg or abdomen bag |
13 |
12 |
$67.08 |