| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4556 |
Electrodes, pair |
1,580 |
1,456 |
$180K |
| A7031 |
Replacement facemask interfa |
1,357 |
1,210 |
$37K |
| E0720 |
Tens two lead |
630 |
620 |
$26K |
| E0731 |
Conductive garment for tens/ |
66 |
66 |
$23K |
| A7038 |
Pos airway pressure filter |
2,528 |
2,314 |
$14K |
| A7030 |
Cpap full face mask |
241 |
221 |
$14K |
| A7032 |
Replacement nasal cushion |
482 |
445 |
$13K |
| A7035 |
Pos airway press headgear |
806 |
730 |
$10K |
| E0601 |
Cont airway pressure device |
402 |
365 |
$9K |
| A4595 |
Tens suppl 2 lead per month |
64 |
56 |
$6K |
| E1390 |
Oxygen concentrator |
151 |
145 |
$5K |
| A7037 |
Pos airway pressure tubing |
539 |
482 |
$4K |
| A7034 |
Nasal application device |
104 |
94 |
$3K |
| A7005 |
Nondisposable nebulizer set |
43 |
43 |
$1K |
| E0570 |
Nebulizer with compression |
29 |
29 |
$790.00 |