| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
8,733 |
7,012 |
$236K |
| A7030 |
Cpap full face mask |
2,782 |
2,332 |
$211K |
| E0562 |
Humidifier heated used w pap |
6,386 |
5,287 |
$170K |
| A7034 |
Nasal application device |
2,863 |
2,321 |
$126K |
| A7031 |
Replacement facemask interfa |
3,178 |
2,503 |
$74K |
| A7037 |
Pos airway pressure tubing |
3,678 |
3,142 |
$72K |
| A7035 |
Pos airway press headgear |
3,894 |
3,254 |
$67K |
| E0245 |
Tub stool or bench |
943 |
799 |
$38K |
| A6530 |
Compression stocking bk18-30 |
971 |
370 |
$36K |
| A7032 |
Replacement nasal cushion |
2,484 |
1,813 |
$30K |
| E0470 |
Rad w/o backup non-inv intfc |
522 |
407 |
$28K |
| A7038 |
Pos airway pressure filter |
6,715 |
5,213 |
$23K |
| A7046 |
Repl water chamber, pap dev |
2,251 |
1,857 |
$15K |
| E0143 |
Walker folding wheeled w/o s |
949 |
720 |
$15K |
| E0570 |
Nebulizer with compression |
2,294 |
1,813 |
$14K |
| L3908 |
Who cock-up nonmolde pre ots |
373 |
201 |
$12K |
| A7033 |
Replacement nasal pillows |
723 |
611 |
$9K |
| A6533 |
Gc stocking thighlngth 18-30 |
85 |
36 |
$7K |
| E0244 |
Toilet seat raised |
233 |
191 |
$6K |
| A4604 |
Tubing with heating element |
1,700 |
1,487 |
$6K |
| E0156 |
Walker seat attachment |
723 |
530 |
$4K |
| A6549 |
Grad com garm noc day use |
54 |
12 |
$3K |
| A7005 |
Nondisposable nebulizer set |
219 |
188 |
$2K |
| E0149 |
Heavy duty wheeled walker |
251 |
202 |
$2K |
| E0100 |
Cane adjust/fixed with tip |
134 |
109 |
$1K |
| E0247 |
Trans bench w/wo comm open |
16 |
13 |
$1K |
| E0241 |
Bath tub wall rail |
42 |
26 |
$870.44 |
| E0243 |
Toilet rail |
38 |
16 |
$576.38 |
| A7039 |
Filter, non disposable w pap |
85 |
75 |
$509.24 |
| E0240 |
Bath/shower chair |
25 |
24 |
$505.05 |
| E0163 |
Commode chair with fixed arm |
18 |
14 |
$317.31 |
| B4150 |
Ef complet w/intact nutrient |
344 |
275 |
$236.37 |
| B4153 |
Ef hydrolyzed/amino acids |
18 |
12 |
$0.00 |
| B4035 |
Enteral feed supp pump per d |
467 |
371 |
$0.00 |