| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
607 |
515 |
$8K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
344 |
306 |
$6K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
224 |
194 |
$3K |
| K0001 |
Standard wheelchair |
405 |
342 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
135 |
135 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
245 |
214 |
$916.74 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
28 |
28 |
$790.28 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
59 |
53 |
$149.95 |