| 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 |
2,072 |
1,703 |
$154K |
| E0570 |
Nebulizer, with compressor |
1,091 |
854 |
$51K |
| K0001 |
Standard wheelchair |
1,038 |
823 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
528 |
430 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
713 |
565 |
$11K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
510 |
491 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
455 |
438 |
$791.12 |