| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
747 |
513 |
$20K |
| E0570 |
Nebulizer, with compressor |
252 |
198 |
$10K |
| A4259 |
Lancets, per box of 100 |
303 |
222 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
32 |
26 |
$538.77 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
14 |
12 |
$446.14 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
19 |
16 |
$31.15 |