| Code | Description | Claims | Beneficiaries | Total Paid |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,970 |
3,943 |
$111K |
| E0570 |
Nebulizer, with compressor |
2,598 |
2,583 |
$51K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
433 |
403 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,773 |
1,770 |
$22K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
304 |
304 |
$14K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
169 |
151 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
672 |
667 |
$6K |
| K0001 |
Standard wheelchair |
201 |
200 |
$4K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
117 |
116 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
95 |
94 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
65 |
65 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
232 |
228 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
319 |
317 |
$975.58 |
| A7015 |
Aerosol mask, used with dme nebulizer |
411 |
405 |
$259.22 |
| E0156 |
Seat attachment, walker |
53 |
53 |
$229.19 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
26 |
24 |
$163.42 |
| A4259 |
Lancets, per box of 100 |
48 |
48 |
$140.63 |