| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
48 |
48 |
$18K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
75 |
74 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
612 |
503 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,194 |
983 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
231 |
194 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
197 |
167 |
$2K |
| K0001 |
Standard wheelchair |
337 |
258 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
689 |
571 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
31 |
25 |
$232.71 |