| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,487 |
1,099 |
$27K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,251 |
910 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
1,132 |
850 |
$11K |
| A7031 |
Face mask interface, replacement for full face mask, each |
404 |
297 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,249 |
909 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,524 |
1,068 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
801 |
513 |
$3K |
| E0570 |
Nebulizer, with compressor |
264 |
203 |
$3K |
| K0001 |
Standard wheelchair |
319 |
236 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
114 |
92 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
37 |
25 |
$647.54 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
44 |
25 |
$348.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
672 |
399 |
$186.04 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
29 |
24 |
$85.71 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
16 |
12 |
$81.12 |
| 0011A |
|
87 |
66 |
$0.00 |
| 0012A |
|
73 |
58 |
$0.00 |
| 0013A |
|
32 |
31 |
$0.00 |