| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
744 |
665 |
$56K |
| A7031 |
Face mask interface, replacement for full face mask, each |
547 |
529 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
129 |
127 |
$18K |
| E0570 |
Nebulizer, with compressor |
97 |
91 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
920 |
879 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
98 |
94 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
71 |
59 |
$2K |
| 0012A |
|
76 |
54 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
415 |
399 |
$2K |
| 0011A |
|
70 |
55 |
$1K |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
28 |
13 |
$1K |
| E0607 |
Home blood glucose monitor |
17 |
14 |
$762.05 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
45 |
44 |
$631.66 |
| 0072A |
|
18 |
13 |
$520.00 |
| 0071A |
|
21 |
12 |
$480.00 |
| 0124A |
|
16 |
16 |
$400.00 |
| 0002A |
|
18 |
12 |
$338.88 |
| 0001A |
|
20 |
13 |
$247.60 |
| 90686 |
|
13 |
12 |
$156.15 |
| A4256 |
Normal, low and high calibrator solution / chips |
17 |
14 |
$80.97 |
| A4259 |
Lancets, per box of 100 |
17 |
13 |
$55.92 |
| A4258 |
Spring-powered device for lancet, each |
17 |
14 |
$37.80 |
| A4235 |
Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each |
17 |
14 |
$15.90 |
| 91307 |
|
17 |
12 |
$0.00 |
| 91301 |
|
35 |
35 |
$0.00 |