| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
5,894 |
3,813 |
$192K |
| A4253 |
Blood glucose/reagent strips |
2,348 |
2,022 |
$86K |
| A4554 |
Disposable underpads |
1,631 |
1,499 |
$52K |
| T4528 |
Adult size pull-on xl |
515 |
491 |
$47K |
| E0570 |
Nebulizer with compression |
1,673 |
1,315 |
$40K |
| T4535 |
Disposable liner/shield/pad |
336 |
317 |
$21K |
| A4259 |
Lancets per box |
1,870 |
1,597 |
$15K |
| T4527 |
Adult size pull-on lg |
120 |
115 |
$10K |
| T4526 |
Adult size pull-on med |
72 |
70 |
$7K |
| A4927 |
Non-sterile gloves |
444 |
417 |
$5K |
| A7038 |
Pos airway pressure filter |
799 |
524 |
$2K |
| A5120 |
Skin barrier, wipe or swab |
374 |
245 |
$2K |
| 0001A |
|
40 |
37 |
$2K |
| 0011A |
|
176 |
171 |
$2K |
| 0002A |
|
24 |
24 |
$2K |
| E0470 |
Rad w/o backup non-inv intfc |
21 |
12 |
$2K |
| 0012A |
|
144 |
143 |
$1K |
| A4604 |
Tubing with heating element |
127 |
78 |
$1K |
| A5500 |
Diab shoe for density insert |
24 |
12 |
$1K |
| 0031A |
|
109 |
109 |
$820.00 |
| A7030 |
Cpap full face mask |
21 |
12 |
$366.75 |
| 90674 |
|
42 |
40 |
$344.10 |
| G0008 |
Admin influenza virus vac |
108 |
104 |
$293.55 |
| A7035 |
Pos airway press headgear |
16 |
13 |
$7.29 |