| 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 |
1,448 |
1,349 |
$32K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,418 |
1,364 |
$20K |
| E0570 |
Nebulizer, with compressor |
789 |
756 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
352 |
207 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
766 |
698 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
351 |
135 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
461 |
304 |
$2K |
| A4259 |
Lancets, per box of 100 |
1,053 |
1,015 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
212 |
177 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
624 |
369 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
103 |
97 |
$1K |
| K0001 |
Standard wheelchair |
322 |
311 |
$875.73 |
| A7035 |
Headgear used with positive airway pressure device |
160 |
119 |
$709.69 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
124 |
88 |
$468.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
90 |
80 |
$281.65 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
18 |
12 |
$215.69 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
90 |
62 |
$210.91 |