| 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 |
2,113 |
1,940 |
$59K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,653 |
1,480 |
$35K |
| A7030 |
Full face mask used with positive airway pressure device, each |
712 |
630 |
$31K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,603 |
1,428 |
$29K |
| E0570 |
Nebulizer, with compressor |
2,669 |
2,426 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,485 |
1,377 |
$12K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
517 |
479 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,459 |
1,262 |
$9K |
| K0001 |
Standard wheelchair |
1,006 |
892 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
595 |
527 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
703 |
614 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
659 |
581 |
$4K |
| A4259 |
Lancets, per box of 100 |
1,448 |
1,299 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
179 |
157 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
355 |
312 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
80 |
76 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
62 |
54 |
$561.47 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$227.60 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
24 |
24 |
$223.66 |