| 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 |
190 |
182 |
$12K |
| K0001 |
Standard wheelchair |
294 |
274 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
87 |
81 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
138 |
130 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
40 |
40 |
$205.82 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
56 |
56 |
$103.33 |