| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
777 |
746 |
$69K |
| E0601 |
Continuous positive airway pressure (cpap) device |
472 |
440 |
$21K |
| A4554 |
Disposable underpads, all sizes |
604 |
595 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
384 |
379 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
66 |
65 |
$5K |
| A4335 |
Incontinence supply; miscellaneous |
921 |
908 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
789 |
772 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
201 |
199 |
$3K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
13 |
13 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
538 |
524 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
27 |
27 |
$815.36 |
| A7015 |
Aerosol mask, used with dme nebulizer |
299 |
292 |
$374.39 |
| K0001 |
Standard wheelchair |
14 |
13 |
$325.01 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$225.09 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
184 |
148 |
$149.55 |