| 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 |
1,224 |
1,189 |
$18K |
| E0570 |
Nebulizer, with compressor |
223 |
216 |
$6K |
| J7605 |
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
73 |
54 |
$4K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
772 |
670 |
$4K |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
108 |
81 |
$2K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
12 |
12 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
64 |
57 |
$406.28 |
| E0601 |
Continuous positive airway pressure (cpap) device |
115 |
115 |
$312.66 |
| K0004 |
High strength, lightweight wheelchair |
89 |
84 |
$26.97 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
105 |
101 |
$15.48 |
| A4259 |
Lancets, per box of 100 |
12 |
12 |
$2.76 |
| A7037 |
Tubing used with positive airway pressure device |
25 |
25 |
$0.00 |