| 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 |
2,102 |
2,032 |
$104K |
| E0570 |
Nebulizer, with compressor |
864 |
818 |
$41K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,081 |
1,069 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,822 |
1,767 |
$20K |
| E0601 |
Continuous positive airway pressure (cpap) device |
726 |
688 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
455 |
421 |
$8K |
| K0001 |
Standard wheelchair |
1,789 |
1,775 |
$5K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
837 |
824 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
52 |
52 |
$3K |
| E2203 |
Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches |
1,345 |
1,337 |
$3K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
3,731 |
1,865 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,711 |
1,353 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
51 |
49 |
$537.39 |
| A4259 |
Lancets, per box of 100 |
53 |
52 |
$456.95 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
2,851 |
1,421 |
$405.10 |
| A7037 |
Tubing used with positive airway pressure device |
56 |
56 |
$329.97 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
3,718 |
1,844 |
$192.97 |
| A7015 |
Aerosol mask, used with dme nebulizer |
70 |
69 |
$100.94 |
| A7035 |
Headgear used with positive airway pressure device |
17 |
17 |
$55.08 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
27 |
27 |
$44.94 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
29 |
29 |
$32.64 |