| 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 |
1,554 |
1,482 |
$81K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,761 |
1,649 |
$80K |
| E0570 |
Nebulizer, with compressor |
2,294 |
2,088 |
$60K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,801 |
1,665 |
$23K |
| A7030 |
Full face mask used with positive airway pressure device, each |
406 |
344 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
1,555 |
1,411 |
$17K |
| K0001 |
Standard wheelchair |
963 |
871 |
$11K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
681 |
586 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,071 |
1,781 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
836 |
755 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
209 |
144 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
285 |
268 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
69 |
67 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
363 |
351 |
$2K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
122 |
102 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
842 |
667 |
$2K |
| A4259 |
Lancets, per box of 100 |
432 |
361 |
$757.25 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
40 |
27 |
$228.54 |
| A4258 |
Spring-powered device for lancet, each |
12 |
12 |
$65.80 |