| 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 |
1,591 |
1,517 |
$21K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
822 |
806 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
328 |
319 |
$4K |
| E0570 |
Nebulizer, with compressor |
353 |
332 |
$3K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
640 |
605 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
114 |
113 |
$1K |
| K0001 |
Standard wheelchair |
384 |
361 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
79 |
79 |
$488.48 |
| A4259 |
Lancets, per box of 100 |
12 |
12 |
$9.99 |