| 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 |
2,376 |
2,146 |
$89K |
| E0570 |
Nebulizer, with compressor |
2,015 |
1,845 |
$59K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,252 |
1,136 |
$41K |
| K0001 |
Standard wheelchair |
1,521 |
1,414 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,047 |
1,839 |
$19K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
128 |
108 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
264 |
249 |
$519.11 |
| 0012A |
|
75 |
74 |
$0.00 |
| 0011A |
|
71 |
70 |
$0.00 |
| 0064A |
|
53 |
52 |
$0.00 |