| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Disposable sensor, cgm sys |
13,639 |
9,327 |
$4.79M |
| A9277 |
External transmitter, cgm |
5,937 |
3,091 |
$764K |
| E0601 |
Cont airway pressure device |
9,372 |
8,280 |
$342K |
| E1390 |
Oxygen concentrator |
9,483 |
7,479 |
$311K |
| A9278 |
External receiver, cgm sys |
1,211 |
679 |
$207K |
| E0570 |
Nebulizer with compression |
3,901 |
3,306 |
$113K |
| A4604 |
Tubing with heating element |
3,024 |
2,696 |
$85K |
| E0562 |
Humidifier heated used w pap |
2,448 |
2,121 |
$83K |
| A7030 |
Cpap full face mask |
1,174 |
1,030 |
$76K |
| L4387 |
Non-pneum walk boot pre ots |
656 |
590 |
$68K |
| A4239 |
Non-adju cgm supply allow |
692 |
333 |
$52K |
| A7031 |
Replacement facemask interfa |
2,025 |
1,816 |
$50K |
| A7035 |
Pos airway press headgear |
2,328 |
2,069 |
$33K |
| E0470 |
Rad w/o backup non-inv intfc |
427 |
349 |
$31K |
| A7034 |
Nasal application device |
590 |
526 |
$30K |
| E0431 |
Portable gaseous 02 |
3,634 |
2,911 |
$25K |
| A7005 |
Nondisposable nebulizer set |
1,627 |
1,484 |
$24K |
| A7033 |
Replacement nasal pillows |
786 |
701 |
$21K |
| A7038 |
Pos airway pressure filter |
5,558 |
4,864 |
$19K |
| L3908 |
Who cock-up nonmolde pre ots |
349 |
302 |
$17K |
| E1392 |
Portable oxygen concentrator |
1,404 |
1,162 |
$15K |
| A7046 |
Repl water chamber, pap dev |
1,336 |
1,203 |
$12K |
| E0114 |
Crutch underarm pair no wood |
342 |
319 |
$11K |
| A7032 |
Replacement nasal cushion |
325 |
281 |
$9K |
| L3809 |
Whfo w/o joints pre ots |
39 |
38 |
$3K |
| E1140 |
Wheelchair standard detach a |
131 |
118 |
$1K |
| A4565 |
Slings |
120 |
111 |
$943.23 |
| E0260 |
Hosp bed semi-electr w/ matt |
83 |
50 |
$594.10 |
| A4566 |
Should sling/vest/abrestrain |
109 |
93 |
$580.28 |
| K0738 |
Portable gas oxygen system |
29 |
25 |
$225.16 |
| A5500 |
Diab shoe for density insert |
54 |
18 |
$95.40 |
| K0001 |
Standard wheelchair |
205 |
157 |
$28.48 |
| A7015 |
Aerosol mask used w nebulize |
34 |
28 |
$21.83 |
| A7013 |
Disposable compressor filter |
25 |
13 |
$9.73 |
| A7003 |
Nebulizer administration set |
16 |
16 |
$8.68 |
| A5512 |
Multi den insert direct form |
42 |
12 |
$0.60 |