| 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 |
3,162 |
2,473 |
$87K |
| K0001 |
Standard wheelchair |
2,018 |
1,821 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
380 |
333 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
540 |
399 |
$6K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
637 |
530 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
349 |
224 |
$1K |
| E0570 |
Nebulizer, with compressor |
275 |
206 |
$783.39 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
230 |
161 |
$331.66 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
58 |
31 |
$321.37 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
162 |
91 |
$212.14 |