| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
8,705 |
7,342 |
$256K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,132 |
1,754 |
$224K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
3,183 |
2,677 |
$87K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,255 |
1,134 |
$86K |
| A7031 |
Face mask interface, replacement for full face mask, each |
693 |
641 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
204 |
192 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,358 |
1,248 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
334 |
305 |
$8K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
1,447 |
1,308 |
$4K |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
547 |
493 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
663 |
607 |
$2K |
| A4334 |
Urinary catheter anchoring device, leg strap, each |
219 |
185 |
$215.92 |