| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,528 |
1,523 |
$60K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
495 |
493 |
$26K |
| E0570 |
Nebulizer, with compressor |
838 |
835 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,559 |
1,551 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
263 |
260 |
$12K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,538 |
1,500 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,144 |
1,114 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
279 |
277 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
121 |
121 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
143 |
141 |
$2K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
44 |
44 |
$2K |
| A4259 |
Lancets, per box of 100 |
1,065 |
1,039 |
$510.48 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$128.05 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
13 |
$20.26 |