| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0562 |
Humidifier heated used w pap |
69 |
56 |
$8K |
| E0144 |
Enclosed walker w rear seat |
56 |
53 |
$8K |
| E0574 |
Ultrasonic generator w svneb |
58 |
55 |
$8K |
| A7030 |
Cpap full face mask |
121 |
88 |
$7K |
| E0570 |
Nebulizer with compression |
20 |
13 |
$2K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
16 |
16 |
$870.00 |
| A7034 |
Nasal application device |
16 |
14 |
$689.13 |
| A7035 |
Pos airway press headgear |
58 |
41 |
$671.52 |
| A7026 |
Replace chst cmprss sys hose |
15 |
14 |
$387.90 |
| A7037 |
Pos airway pressure tubing |
43 |
29 |
$347.32 |
| A7025 |
Replace chest compress vest |
15 |
14 |
$340.88 |
| E0470 |
Rad w/o backup non-inv intfc |
40 |
39 |
$320.96 |
| A7033 |
Replacement nasal pillows |
13 |
13 |
$153.66 |
| A7044 |
Pap oral interface |
13 |
13 |
$123.56 |
| L4386 |
Non-pneum walk boot pre cst |
15 |
15 |
$0.00 |