| 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 |
5,551 |
5,005 |
$198K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,857 |
3,499 |
$35K |
| E0570 |
Nebulizer, with compressor |
211 |
166 |
$2K |
| K0001 |
Standard wheelchair |
113 |
102 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
30 |
24 |
$149.25 |