| 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 |
7,335 |
6,749 |
$316K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,292 |
3,019 |
$133K |
| E0570 |
Nebulizer, with compressor |
4,482 |
4,002 |
$78K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
2,361 |
2,188 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,271 |
3,897 |
$40K |
| A7030 |
Full face mask used with positive airway pressure device, each |
960 |
835 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,129 |
2,857 |
$35K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
2,555 |
2,184 |
$35K |
| K0001 |
Standard wheelchair |
3,099 |
2,828 |
$30K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
824 |
680 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
2,307 |
2,043 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,692 |
3,062 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,851 |
1,614 |
$16K |
| A7031 |
Face mask interface, replacement for full face mask, each |
541 |
446 |
$14K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
922 |
818 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
225 |
159 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
135 |
128 |
$5K |
| A4259 |
Lancets, per box of 100 |
2,351 |
2,007 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
146 |
132 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
339 |
338 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,796 |
1,481 |
$4K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
94 |
38 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
282 |
262 |
$3K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
92 |
77 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
202 |
182 |
$1K |
| E0156 |
Seat attachment, walker |
38 |
37 |
$228.07 |
| A4258 |
Spring-powered device for lancet, each |
30 |
30 |
$108.50 |
| A4256 |
Normal, low and high calibrator solution / chips |
26 |
26 |
$56.56 |