| 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 |
1,306 |
1,256 |
$16K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
139 |
126 |
$7K |
| E0570 |
Nebulizer, with compressor |
327 |
285 |
$7K |
| A4259 |
Lancets, per box of 100 |
163 |
150 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
155 |
153 |
$740.66 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
138 |
128 |
$701.54 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
156 |
155 |
$552.43 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$30.66 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$0.00 |