| 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 |
1,516 |
1,281 |
$82K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,537 |
1,294 |
$46K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
879 |
752 |
$32K |
| K0001 |
Standard wheelchair |
2,158 |
1,919 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,466 |
1,161 |
$9K |
| E0570 |
Nebulizer, with compressor |
491 |
477 |
$4K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
217 |
202 |
$4K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
323 |
299 |
$3K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
288 |
271 |
$3K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
14 |
13 |
$103.42 |