| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
2,977 |
2,740 |
$124K |
| E1390 |
Oxygen concentrator |
1,959 |
1,744 |
$97K |
| E0601 |
Cont airway pressure device |
2,832 |
2,570 |
$85K |
| A7037 |
Pos airway pressure tubing |
1,897 |
1,705 |
$24K |
| A7005 |
Nondisposable nebulizer set |
1,690 |
1,503 |
$22K |
| A4253 |
Blood glucose/reagent strips |
323 |
290 |
$14K |
| A7035 |
Pos airway press headgear |
1,109 |
991 |
$13K |
| E0431 |
Portable gaseous 02 |
608 |
538 |
$10K |
| A7038 |
Pos airway pressure filter |
2,226 |
1,847 |
$8K |
| A7030 |
Cpap full face mask |
107 |
97 |
$7K |
| A7031 |
Replacement facemask interfa |
221 |
196 |
$6K |
| E0562 |
Humidifier heated used w pap |
84 |
80 |
$4K |
| A7034 |
Nasal application device |
96 |
84 |
$4K |
| A7039 |
Filter, non disposable w pap |
716 |
653 |
$4K |
| A7032 |
Replacement nasal cushion |
110 |
95 |
$3K |
| A4259 |
Lancets per box |
251 |
230 |
$2K |
| K0001 |
Standard wheelchair |
152 |
148 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,730 |
1,536 |
$2K |
| K0003 |
Lightweight wheelchair |
117 |
114 |
$1K |
| A7003 |
Nebulizer administration set |
826 |
717 |
$92.80 |