| 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 |
1,869 |
1,858 |
$100K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,015 |
1,004 |
$51K |
| E0570 |
Nebulizer, with compressor |
1,503 |
1,492 |
$25K |
| 99605 |
|
487 |
472 |
$23K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
713 |
712 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,252 |
1,249 |
$14K |
| K0003 |
Lightweight wheelchair |
648 |
640 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
518 |
513 |
$9K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
1,145 |
1,116 |
$8K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
336 |
323 |
$6K |
| K0002 |
Standard hemi (low seat) wheelchair |
492 |
488 |
$6K |
| 99606 |
|
223 |
220 |
$6K |
| 99607 |
|
534 |
503 |
$5K |
| K0001 |
Standard wheelchair |
161 |
160 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,021 |
1,014 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,097 |
1,086 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
12 |
12 |
$1K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
39 |
39 |
$989.92 |
| K0006 |
Heavy duty wheelchair |
36 |
36 |
$949.37 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
182 |
180 |
$552.91 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
109 |
108 |
$318.21 |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$253.94 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$230.71 |
| A4259 |
Lancets, per box of 100 |
62 |
62 |
$116.24 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12 |
12 |
$56.64 |