| 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 |
1,176 |
879 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
970 |
713 |
$10K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,365 |
1,172 |
$6K |
| E0570 |
Nebulizer, with compressor |
1,157 |
879 |
$6K |
| K0001 |
Standard wheelchair |
822 |
541 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
74 |
52 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
143 |
84 |
$2K |
| A4259 |
Lancets, per box of 100 |
161 |
130 |
$119.08 |
| 0012A |
|
22 |
18 |
$118.88 |
| 0011A |
|
41 |
31 |
$78.88 |
| G0008 |
Administration of influenza virus vaccine |
185 |
138 |
$22.46 |
| 0013A |
|
57 |
49 |
$1.12 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
277 |
235 |
$0.00 |
| 90674 |
|
56 |
41 |
$0.00 |
| 90686 |
|
44 |
30 |
$0.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
12 |
12 |
$0.00 |
| 90694 |
|
20 |
15 |
$0.00 |
| 0003A |
|
31 |
22 |
$0.00 |