Services with Overcoding Errors: DME

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Service Billed to DMERC (HCPCS) Overcoding Errors
Paid Error Rate Projected Improper Payments 95% Confidence Interval
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Levalbuterol non-comp unit (J7614) 4.9% $17,539,696 0.9% - 8.8%
Blood glucose/reagent strips (A4253) 1.0% $10,356,710 0.5% - 1.5%
Budesonide non-comp unit (J7626) 2.1% $4,577,894 ( 1.9%) - 6.1%
Enteral feed supp pump per d (B4035) 2.2% $3,715,180 ( 1.3%) - 5.7%
Oxygen concentrator (E1390) 0.2% $3,136,044 ( 0.0%) - 0.4%
EF complet w/intact nutrient (B4150) 3.0% $2,893,757 ( 2.8%) - 8.7%
High strength ltwt whlchr (K0004) 2.8% $1,973,524 0.1% - 5.5%
Multi den insert custom mold (A5513) 4.5% $1,898,139 ( 4.1%) - 13.0%
Albuterol ipratrop non-comp (J7620) 0.8% $1,681,045 ( 0.8%) - 2.5%
Lancets per box (A4259) 1.1% $1,251,402 0.5% - 1.8%
EF calorie dense>/=1.5Kcal (B4152) 2.0% $1,050,723 ( 0.7%) - 4.8%
Lightweight wheelchair (K0003) 1.6% $977,215 0.1% - 3.0%
Portable gaseous 02 (E0431) 0.1% $266,504 ( 0.1%) - 0.3%
Albuterol non-comp unit (J7613) 0.7% $258,637 ( 0.2%) - 1.6%
Iv pole (E0776) 2.5% $207,975 ( 2.4%) - 7.4%
Lithium batt for glucose mon (A4235) 5.0% $58,017 ( 4.4%) - 14.3%
Ipratropium bromide non-comp (J7644) 0.4% $54,139 ( 0.4%) - 1.2%
Hosp bed semi-electr w/ matt (E0260) 0.0% $46,118 ( 0.0%) - 0.1%
Nebulizer administration set (A7003) 0.7% $38,033 ( 0.6%) - 1.9%
Mycophenolate mofetil oral (J7517) 0.0% $1,497 ( 0.0%) - 0.0%
All Other Codes 0.2% $8,085,506 0.0% - 0.3%
Overall 0.6% $60,067,754 0.3% - 0.9%