| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
2,977 |
2,740 |
$124K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,959 |
1,744 |
$97K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,832 |
2,570 |
$85K |
| A7037 |
Tubing used with positive airway pressure device |
1,897 |
1,705 |
$24K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,690 |
1,503 |
$22K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
323 |
290 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,109 |
991 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
608 |
538 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,226 |
1,847 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
107 |
97 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
221 |
196 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
84 |
80 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
96 |
84 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
716 |
653 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
110 |
95 |
$3K |
| A4259 |
Lancets, per box of 100 |
251 |
230 |
$2K |
| K0001 |
Standard wheelchair |
152 |
148 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,730 |
1,536 |
$2K |
| K0003 |
Lightweight wheelchair |
117 |
114 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
826 |
717 |
$92.80 |