| 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 |
2,342 |
1,735 |
$102K |
| K0001 |
Standard wheelchair |
2,106 |
1,637 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,322 |
1,724 |
$20K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
156 |
104 |
$6K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
397 |
292 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,257 |
991 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
131 |
101 |
$3K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
423 |
311 |
$3K |