| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
204 |
190 |
$29K |
| E0601 |
Continuous positive airway pressure (cpap) device |
209 |
199 |
$22K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
1,099 |
1,032 |
$21K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
245 |
234 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
655 |
620 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
210 |
206 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
76 |
76 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
136 |
132 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
16 |
15 |
$804.90 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
115 |
112 |
$637.26 |