| 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 |
2,469 |
2,395 |
$61K |
| K0003 |
Lightweight wheelchair |
1,076 |
1,016 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
633 |
587 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,215 |
2,147 |
$12K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,165 |
1,103 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
18 |
15 |
$686.66 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
15 |
12 |
$441.24 |