| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
1,192 |
1,168 |
$14K |
| A4259 |
Lancets per box |
1,136 |
1,112 |
$1K |
| E0601 |
Cont airway pressure device |
130 |
130 |
$109.52 |
| Q0513 |
Disp fee inhal drugs/30 days |
349 |
339 |
$42.90 |
| E0570 |
Nebulizer with compression |
43 |
43 |
$35.00 |
| E0562 |
Humidifier heated used w pap |
123 |
123 |
$32.30 |
| K0001 |
Standard wheelchair |
289 |
287 |
$23.54 |
| J7613 |
Albuterol non-comp unit |
262 |
262 |
$11.97 |
| K0195 |
Elevating whlchair leg rests |
102 |
101 |
$10.63 |
| E0973 |
W/ch access det adj armrest |
37 |
37 |
$5.96 |
| A7003 |
Nebulizer administration set |
349 |
339 |
$3.38 |
| A7015 |
Aerosol mask used w nebulize |
349 |
339 |
$2.48 |
| E1390 |
Oxygen concentrator |
83 |
83 |
$0.00 |
| A7035 |
Pos airway press headgear |
22 |
22 |
$0.00 |
| K0006 |
Heavy duty wheelchair |
15 |
15 |
$0.00 |
| K0003 |
Lightweight wheelchair |
27 |
27 |
$0.00 |
| A7039 |
Filter, non disposable w pap |
24 |
24 |
$0.00 |
| A7034 |
Nasal application device |
17 |
17 |
$0.00 |
| E0260 |
Hosp bed semi-electr w/ matt |
403 |
403 |
$0.00 |
| A4452 |
Waterproof tape |
17 |
17 |
$0.00 |
| K0739 |
Repair/svc dme non-oxygen eq |
12 |
12 |
$0.00 |
| A4406 |
Pectin based ostomy paste |
14 |
14 |
$0.00 |
| A7038 |
Pos airway pressure filter |
16 |
16 |
$0.00 |
| E1226 |
Manual fully reclining back |
13 |
13 |
$0.00 |
| A6260 |
Wound cleanser any type/size |
15 |
15 |
$0.00 |
| A4615 |
Cannula nasal |
13 |
12 |
$0.00 |
| E0303 |
Hosp bed hvy dty xtra wide |
13 |
13 |
$0.00 |
| E0277 |
Powered pres-redu air mattrs |
18 |
18 |
$0.00 |
| E0135 |
Walker folding adjust/fixed |
14 |
14 |
$0.00 |
| E0181 |
Press pad alternating w/ pum |
46 |
46 |
$0.00 |
| A7030 |
Cpap full face mask |
14 |
14 |
$0.00 |
| A4371 |
Skin barrier powder per oz |
14 |
14 |
$0.00 |
| E0630 |
Patient lift hydraulic |
26 |
26 |
$0.00 |
| E0424 |
Stationary compressed gas 02 |
57 |
57 |
$0.00 |
| A4414 |
Ost sknbar w/o conv<=4 sq in |
16 |
16 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
26 |
26 |
$0.00 |
| E0143 |
Walker folding wheeled w/o s |
17 |
17 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
12 |
12 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
89 |
89 |
$0.00 |
| A4456 |
Adhesive remover, wipes |
16 |
16 |
$0.00 |
| J7626 |
Budesonide non-comp unit |
15 |
15 |
$0.00 |
| E0470 |
Rad w/o backup non-inv intfc |
14 |
14 |
$0.00 |
| E1038 |
Transport chair pt wt<=300lb |
42 |
41 |
$0.00 |
| E0240 |
Bath/shower chair |
22 |
22 |
$0.00 |
| E1392 |
Portable oxygen concentrator |
13 |
13 |
$0.00 |
| E0156 |
Walker seat attachment |
15 |
15 |
$0.00 |
| E0600 |
Suction pump portab hom modl |
13 |
13 |
$0.00 |
| E0431 |
Portable gaseous 02 |
60 |
60 |
$0.00 |