| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
3,212 |
2,843 |
$105K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
580 |
446 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
223 |
193 |
$14K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
231 |
211 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
347 |
321 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
28 |
27 |
$2K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
174 |
164 |
$419.22 |
| A4314 |
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
39 |
39 |
$326.35 |
| A7037 |
Tubing used with positive airway pressure device |
29 |
26 |
$98.04 |