| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
3,970 |
3,943 |
$111K |
| E0570 |
Nebulizer with compression |
2,598 |
2,583 |
$51K |
| A6530 |
Compression stocking bk18-30 |
433 |
403 |
$23K |
| E0562 |
Humidifier heated used w pap |
1,773 |
1,770 |
$22K |
| E0470 |
Rad w/o backup non-inv intfc |
304 |
304 |
$14K |
| L3908 |
Who cock-up nonmolde pre ots |
169 |
151 |
$8K |
| A7005 |
Nondisposable nebulizer set |
672 |
667 |
$6K |
| K0001 |
Standard wheelchair |
201 |
200 |
$4K |
| A4253 |
Blood glucose/reagent strips |
117 |
116 |
$3K |
| A7030 |
Cpap full face mask |
95 |
94 |
$3K |
| E0143 |
Walker folding wheeled w/o s |
65 |
65 |
$2K |
| A7035 |
Pos airway press headgear |
232 |
228 |
$1K |
| A7038 |
Pos airway pressure filter |
319 |
317 |
$975.58 |
| A7015 |
Aerosol mask used w nebulize |
411 |
405 |
$259.22 |
| E0156 |
Walker seat attachment |
53 |
53 |
$229.19 |
| A4604 |
Tubing with heating element |
26 |
24 |
$163.42 |
| A4259 |
Lancets per box |
48 |
48 |
$140.63 |