| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
492 |
492 |
$16K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
234 |
234 |
$5K |
| K0003 |
Lightweight wheelchair |
476 |
476 |
$4K |
| E0277 |
Powered pressure-reducing air mattress |
35 |
35 |
$2K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
62 |
62 |
$952.27 |
| E1392 |
Portable oxygen concentrator, rental |
64 |
64 |
$951.84 |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
13 |
13 |
$851.35 |
| E1391 |
Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each |
13 |
13 |
$553.83 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
13 |
13 |
$363.12 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13 |
12 |
$191.82 |