| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
517 |
506 |
$18K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
228 |
219 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
27 |
27 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
139 |
137 |
$4K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
34 |
33 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
54 |
54 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
93 |
73 |
$3K |
| E0605 |
Vaporizer, room type |
97 |
97 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
64 |
64 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
54 |
54 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
62 |
61 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
108 |
108 |
$920.79 |
| A7015 |
Aerosol mask, used with dme nebulizer |
146 |
138 |
$195.72 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
13 |
$158.37 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
111 |
111 |
$83.98 |