| 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 |
2,619 |
2,299 |
$74K |
| E0570 |
Nebulizer, with compressor |
1,020 |
830 |
$43K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
752 |
664 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
651 |
586 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
379 |
276 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
245 |
182 |
$2K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
207 |
134 |
$1K |
| 0011A |
|
42 |
42 |
$586.38 |
| E0601 |
Continuous positive airway pressure (cpap) device |
189 |
146 |
$416.20 |
| 0134A |
|
28 |
28 |
$360.00 |
| E1392 |
Portable oxygen concentrator, rental |
99 |
79 |
$305.32 |
| 0064A |
|
33 |
33 |
$282.59 |
| 91322 |
|
13 |
13 |
$259.15 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
106 |
104 |
$226.29 |
| 0012A |
|
17 |
17 |
$120.00 |
| 0031A |
|
13 |
13 |
$120.00 |
| 90686 |
|
30 |
30 |
$64.56 |
| 90480 |
|
13 |
13 |
$28.30 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
43 |
38 |
$1.86 |
| A4259 |
Lancets, per box of 100 |
16 |
13 |
$0.92 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
15 |
$0.00 |
| 90662 |
|
72 |
72 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
35 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
135 |
135 |
$0.00 |
| 90688 |
|
28 |
28 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |
| 91301 |
|
16 |
15 |
$0.00 |