| 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 |
3,020 |
2,694 |
$65K |
| K0001 |
Standard wheelchair |
2,635 |
2,206 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,637 |
1,519 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
1,150 |
1,047 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
262 |
216 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
124 |
103 |
$1K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
12 |
12 |
$440.00 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
26 |
26 |
$379.33 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
51 |
37 |
$152.89 |
| E0570 |
Nebulizer, with compressor |
24 |
24 |
$42.42 |