| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
4,064 |
4,053 |
$103K |
| E0570 |
Nebulizer with compression |
2,866 |
2,860 |
$62K |
| E0562 |
Humidifier heated used w pap |
2,223 |
2,217 |
$20K |
| E0470 |
Rad w/o backup non-inv intfc |
335 |
335 |
$18K |
| A6530 |
Compression stocking bk18-30 |
287 |
256 |
$14K |
| A4253 |
Blood glucose/reagent strips |
325 |
311 |
$7K |
| A7005 |
Nondisposable nebulizer set |
784 |
782 |
$7K |
| L3908 |
Who cock-up nonmolde pre ots |
50 |
45 |
$3K |
| A7030 |
Cpap full face mask |
43 |
41 |
$1K |
| A7035 |
Pos airway press headgear |
114 |
110 |
$810.76 |
| A7038 |
Pos airway pressure filter |
226 |
223 |
$616.74 |
| A4259 |
Lancets per box |
225 |
207 |
$564.96 |
| K0001 |
Standard wheelchair |
12 |
12 |
$490.66 |
| E0143 |
Walker folding wheeled w/o s |
13 |
13 |
$254.98 |
| A7015 |
Aerosol mask used w nebulize |
247 |
246 |
$145.68 |
| E0156 |
Walker seat attachment |
12 |
12 |
$48.90 |