| 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 |
2,011 |
1,815 |
$91K |
| E0570 |
Nebulizer, with compressor |
684 |
652 |
$14K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
161 |
144 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,088 |
1,036 |
$3K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
92 |
48 |
$2K |
| A4259 |
Lancets, per box of 100 |
147 |
130 |
$2K |
| A4554 |
Disposable underpads, all sizes |
53 |
51 |
$1K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
26 |
25 |
$1K |
| K0001 |
Standard wheelchair |
37 |
37 |
$226.98 |