| 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 |
200 |
194 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
102 |
94 |
$3K |
| K0001 |
Standard wheelchair |
153 |
144 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
86 |
79 |
$2K |
| E0570 |
Nebulizer, with compressor |
85 |
82 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
147 |
143 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
120 |
113 |
$653.94 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
31 |
28 |
$484.68 |