| 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 |
1,971 |
1,767 |
$119K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,296 |
1,135 |
$24K |
| K0001 |
Standard wheelchair |
193 |
176 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
57 |
51 |
$2K |
| E0570 |
Nebulizer, with compressor |
35 |
24 |
$630.75 |