| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
1,354 |
1,168 |
$59K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
956 |
824 |
$40K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
591 |
511 |
$10K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
658 |
560 |
$6K |
| K0001 |
Standard wheelchair |
701 |
608 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
95 |
75 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
66 |
38 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
23 |
13 |
$1K |
| A4259 |
Lancets, per box of 100 |
274 |
229 |
$604.22 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
45 |
29 |
$112.01 |