| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
122 |
120 |
$18K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
364 |
295 |
$17K |
| K0001 |
Standard wheelchair |
326 |
299 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
264 |
258 |
$6K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
61 |
55 |
$5K |
| A4259 |
Lancets, per box of 100 |
334 |
266 |
$3K |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
294 |
290 |
$3K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
32 |
27 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
278 |
276 |
$570.27 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
276 |
273 |
$373.45 |