| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,585 |
2,186 |
$26K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,228 |
914 |
$25K |
| E0570 |
Nebulizer, with compressor |
2,988 |
1,971 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
866 |
783 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,198 |
915 |
$3K |
| A4259 |
Lancets, per box of 100 |
973 |
738 |
$3K |
| K0003 |
Lightweight wheelchair |
586 |
522 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
237 |
226 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
897 |
571 |
$1K |
| E1240 |
Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest |
100 |
84 |
$515.54 |
| E0601 |
Continuous positive airway pressure (cpap) device |
106 |
89 |
$471.40 |
| A7015 |
Aerosol mask, used with dme nebulizer |
42 |
31 |
$35.34 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
943 |
855 |
$0.00 |