| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
3,552 |
3,381 |
$454K |
| E0601 |
Cont airway pressure device |
2,428 |
2,379 |
$166K |
| A7030 |
Cpap full face mask |
1,228 |
1,189 |
$133K |
| A7031 |
Replacement facemask interfa |
1,658 |
1,612 |
$86K |
| K0003 |
Lightweight wheelchair |
1,975 |
1,889 |
$59K |
| A4595 |
Tens suppl 2 lead per month |
1,593 |
1,545 |
$57K |
| E0470 |
Rad w/o backup non-inv intfc |
373 |
356 |
$39K |
| A7037 |
Pos airway pressure tubing |
1,455 |
1,413 |
$33K |
| A7038 |
Pos airway pressure filter |
3,452 |
3,361 |
$24K |
| E0562 |
Humidifier heated used w pap |
128 |
121 |
$22K |
| A7035 |
Pos airway press headgear |
1,037 |
1,001 |
$21K |
| A7034 |
Nasal application device |
303 |
288 |
$19K |
| E0260 |
Hosp bed semi-electr w/ matt |
272 |
255 |
$11K |
| E0973 |
W/ch access det adj armrest |
1,017 |
892 |
$7K |
| K0195 |
Elevating whlchair leg rests |
1,659 |
1,591 |
$7K |
| A7032 |
Replacement nasal cushion |
104 |
104 |
$7K |
| A7046 |
Repl water chamber, pap dev |
516 |
496 |
$5K |
| E0143 |
Walker folding wheeled w/o s |
118 |
114 |
$5K |
| A7003 |
Nebulizer administration set |
1,895 |
1,838 |
$3K |
| A7015 |
Aerosol mask used w nebulize |
1,645 |
1,599 |
$2K |
| A7033 |
Replacement nasal pillows |
84 |
82 |
$2K |
| E0971 |
Wheelchair anti-tipping devi |
691 |
590 |
$2K |
| A7039 |
Filter, non disposable w pap |
160 |
158 |
$1K |
| A4604 |
Tubing with heating element |
50 |
46 |
$1K |
| E0163 |
Commode chair with fixed arm |
28 |
27 |
$831.26 |
| E2601 |
Gen w/c cushion wdth < 22 in |
30 |
28 |
$633.08 |