| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
350 |
311 |
$6K |
| K0001 |
Standard wheelchair |
378 |
305 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
876 |
723 |
$2K |
| E0570 |
Nebulizer, with compressor |
1,069 |
793 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
55 |
49 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$667.30 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
38 |
37 |
$580.25 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$76.18 |
| A7035 |
Headgear used with positive airway pressure device |
66 |
55 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
77 |
68 |
$0.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
184 |
176 |
$0.00 |
| A7037 |
Tubing used with positive airway pressure device |
67 |
56 |
$0.00 |