| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
5,374 |
4,837 |
$902K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,920 |
3,789 |
$537K |
| E0570 |
Nebulizer, with compressor |
3,904 |
2,940 |
$300K |
| E0202 |
Phototherapy (bilirubin) light with photometer |
1,270 |
857 |
$297K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
2,563 |
2,102 |
$88K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
3,425 |
2,822 |
$74K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,052 |
784 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,020 |
2,315 |
$52K |
| K0001 |
Standard wheelchair |
1,344 |
865 |
$26K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
214 |
135 |
$9K |
| A4554 |
Disposable underpads, all sizes |
227 |
216 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
132 |
86 |
$7K |
| A7015 |
Aerosol mask, used with dme nebulizer |
3,150 |
2,645 |
$5K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
3,384 |
2,790 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
33 |
27 |
$942.46 |
| A4259 |
Lancets, per box of 100 |
142 |
90 |
$879.79 |
| A7035 |
Headgear used with positive airway pressure device |
32 |
27 |
$835.71 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
39 |
25 |
$683.62 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15 |
12 |
$57.07 |