| Service Billed to DMERC (HCPCS) |
Number of Claims in Sample |
Number of Lines in Sample |
Dollars Overpaid in Sample |
Total Dollars Paid in Sample |
Projected Dollars Overpaid |
Overpayment Rate |
/
|
/
|
/
|
/
|
/
|
/
|
/
|
| All Codes With Less Than 30 Claims |
2,058 |
3,214 |
$58,792 |
$487,456 |
$423,883,712 |
14.4% |
| Blood glucose/reagent strips (A4253) |
1,781 |
1,807 |
$18,961 |
$176,291 |
$102,165,245 |
9.9% |
| Neg press wound therapy pump (E2402) |
30 |
31 |
$10,299 |
$27,892 |
$86,444,132 |
45.0% |
| Levalbuterol non-comp unit (J7614) |
132 |
137 |
$8,626 |
$48,914 |
$71,865,007 |
20.0% |
| Budesonide non-comp unit (J7626) |
94 |
104 |
$7,927 |
$30,736 |
$65,110,371 |
29.9% |
| EF spec metabolic noninherit (B4154) |
55 |
57 |
$5,666 |
$22,254 |
$44,683,314 |
28.4% |
| Powered pres-redu air mattrs (E0277) |
51 |
54 |
$3,997 |
$19,836 |
$33,546,963 |
24.3% |
| Enteral feed supp pump per d (B4035) |
104 |
110 |
$3,267 |
$26,574 |
$23,496,464 |
14.0% |
| Oxygen concentrator (E1390) |
1,685 |
1,757 |
$4,788 |
$307,132 |
$22,756,362 |
1.2% |
| Albuterol ipratrop non-comp (J7620) |
284 |
288 |
$2,065 |
$32,120 |
$15,597,180 |
7.8% |
| Cont airway pressure device (E0601) |
401 |
435 |
$1,519 |
$33,265 |
$9,485,540 |
5.1% |
| Humidifier heated used w PAP (E0562) |
107 |
115 |
$1,355 |
$10,392 |
$9,334,994 |
14.8% |
| Lancets per box (A4259) |
1,036 |
1,039 |
$1,562 |
$18,408 |
$8,012,840 |
7.3% |
| Disp fee inhal drugs/30 days (Q0513) |
665 |
677 |
$990 |
$20,658 |
$6,375,668 |
4.9% |
| RAD w/o backup non-inv intfc (E0470) |
60 |
62 |
$1,030 |
$10,966 |
$6,283,663 |
10.9% |
| High strength ltwt whlchr (K0004) |
135 |
146 |
$1,102 |
$10,729 |
$5,865,048 |
8.3% |
| Hosp bed semi-electr w/ matt (E0260) |
383 |
402 |
$787 |
$38,601 |
$4,570,281 |
1.9% |
| EF complet w/intact nutrient (B4150) |
73 |
75 |
$799 |
$16,054 |
$4,322,960 |
4.5% |
| Nasal application device (A7034) |
106 |
106 |
$706 |
$10,142 |
$4,306,554 |
7.2% |
| Lightweight wheelchair (K0003) |
173 |
185 |
$793 |
$10,368 |
$4,124,907 |
6.6% |
| All Other Codes |
5,039 |
6,535 |
$9,967 |
$257,055 |
$59,578,005 |
3.8% |
| Combined |
10,191 |
17,336 |
$144,998 |
$1,615,843 |
$1,011,809,210 |
10.2% |
|
|