| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
1,019 |
1,012 |
$35K |
| E0570 |
Nebulizer, with compressor |
1,391 |
1,383 |
$32K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
389 |
387 |
$27K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
663 |
661 |
$21K |
| K0003 |
Lightweight wheelchair |
356 |
355 |
$11K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
293 |
282 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
267 |
267 |
$3K |
| A4670 |
Automatic blood pressure monitor |
57 |
57 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
39 |
39 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
15 |
15 |
$658.92 |
| A4259 |
Lancets, per box of 100 |
140 |
136 |
$337.30 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15 |
15 |
$54.83 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$23.21 |