| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,898 |
1,445 |
$54K |
| E1390 |
Oxygen concentrator |
812 |
649 |
$21K |
| L4361 |
Pneuma/vac walk boot pre ots |
101 |
91 |
$18K |
| E0562 |
Humidifier heated used w pap |
1,759 |
1,350 |
$15K |
| L4387 |
Non-pneum walk boot pre ots |
135 |
120 |
$14K |
| E0431 |
Portable gaseous 02 |
439 |
378 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
73 |
68 |
$2K |
| A7035 |
Pos airway press headgear |
200 |
184 |
$2K |
| A4253 |
Blood glucose/reagent strips |
597 |
508 |
$2K |
| A7037 |
Pos airway pressure tubing |
236 |
220 |
$2K |
| A7038 |
Pos airway pressure filter |
340 |
300 |
$692.34 |
| A7039 |
Filter, non disposable w pap |
116 |
107 |
$401.55 |
| 0031A |
|
25 |
25 |
$0.00 |