| 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 |
1,337 |
1,299 |
$20K |
| K0001 |
Standard wheelchair |
1,822 |
1,767 |
$9K |
| E0601 |
Continuous positive airway pressure (cpap) device |
276 |
268 |
$4K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
222 |
221 |
$2K |
| E0570 |
Nebulizer, with compressor |
227 |
223 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
312 |
307 |
$1K |
| K0003 |
Lightweight wheelchair |
57 |
56 |
$749.06 |