| 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 |
3,916 |
3,295 |
$219K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,450 |
2,955 |
$142K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,022 |
2,068 |
$44K |
| K0001 |
Standard wheelchair |
4,197 |
3,192 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
438 |
367 |
$23K |
| E0570 |
Nebulizer, with compressor |
486 |
381 |
$15K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
497 |
343 |
$7K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
44 |
44 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
454 |
331 |
$4K |
| K0003 |
Lightweight wheelchair |
114 |
87 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
57 |
44 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
327 |
288 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
22 |
16 |
$259.77 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$0.00 |