| 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 |
717 |
604 |
$24K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
315 |
264 |
$13K |
| K0001 |
Standard wheelchair |
403 |
372 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
175 |
142 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
98 |
90 |
$1K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
41 |
37 |
$655.42 |
| A4259 |
Lancets, per box of 100 |
58 |
50 |
$273.00 |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$196.77 |