| 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 |
839 |
824 |
$62K |
| E0601 |
Continuous positive airway pressure (cpap) device |
445 |
441 |
$28K |
| E0570 |
Nebulizer, with compressor |
1,354 |
1,354 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
593 |
583 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
459 |
455 |
$5K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
59 |
53 |
$495.10 |
| K0001 |
Standard wheelchair |
12 |
12 |
$283.25 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13 |
12 |
$89.03 |
| A4259 |
Lancets, per box of 100 |
14 |
13 |
$52.26 |