| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
380 |
380 |
$11K |
| E0570 |
Nebulizer, with compressor |
501 |
501 |
$5K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
362 |
357 |
$2K |
| A4335 |
Incontinence supply; miscellaneous |
93 |
65 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
67 |
67 |
$649.95 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
24 |
24 |
$241.42 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
91 |
91 |
$88.51 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
37 |
37 |
$73.99 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
13 |
$51.15 |
| K0001 |
Standard wheelchair |
12 |
12 |
$50.37 |