| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Breast pump, electric (ac and/or dc), any type |
863 |
861 |
$101K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,520 |
1,502 |
$80K |
| E0570 |
Nebulizer, with compressor |
2,297 |
2,251 |
$49K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,003 |
963 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
974 |
954 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,012 |
1,989 |
$29K |
| K0001 |
Standard wheelchair |
919 |
894 |
$20K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,732 |
1,690 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
989 |
986 |
$8K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
24 |
24 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
46 |
44 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
67 |
65 |
$817.21 |
| K0003 |
Lightweight wheelchair |
13 |
12 |
$795.56 |
| A7015 |
Aerosol mask, used with dme nebulizer |
128 |
127 |
$189.37 |
| A4259 |
Lancets, per box of 100 |
46 |
44 |
$180.57 |
| E0156 |
Seat attachment, walker |
24 |
24 |
$156.12 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
36 |
36 |
$53.66 |