| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
1,609 |
1,309 |
$90K |
| E0601 |
Continuous positive airway pressure (cpap) device |
620 |
475 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
520 |
432 |
$12K |
| K0001 |
Standard wheelchair |
773 |
540 |
$11K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
415 |
379 |
$5K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
696 |
495 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$885.03 |
| A7035 |
Headgear used with positive airway pressure device |
53 |
44 |
$610.03 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
18 |
13 |
$502.18 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
19 |
12 |
$424.10 |
| A7015 |
Aerosol mask, used with dme nebulizer |
356 |
320 |
$385.51 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13 |
12 |
$256.01 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
146 |
120 |
$237.15 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
196 |
185 |
$109.24 |
| A4259 |
Lancets, per box of 100 |
309 |
221 |
$108.77 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
81 |
79 |
$93.61 |