| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00813 |
|
1,654 |
1,567 |
$236K |
| 00731 |
|
1,379 |
1,317 |
$187K |
| 00811 |
|
763 |
729 |
$93K |
| 00812 |
|
477 |
456 |
$60K |
| 00142 |
|
16 |
13 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
391 |
292 |
$27.58 |
| A4620 |
Variable concentration mask |
242 |
183 |
$25.73 |
| A4615 |
Cannula, nasal |
564 |
418 |
$24.17 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
545 |
414 |
$8.54 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
466 |
361 |
$3.63 |
| E1399 |
Durable medical equipment, miscellaneous |
835 |
341 |
$0.00 |
| E1354 |
Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each |
199 |
136 |
$0.00 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
193 |
135 |
$0.00 |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
188 |
131 |
$0.00 |
| E0485 |
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment |
193 |
134 |
$0.00 |
| E1353 |
Regulator |
194 |
135 |
$0.00 |