| 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 |
4,395 |
4,347 |
$373K |
| K0003 |
Lightweight wheelchair |
1,710 |
1,685 |
$90K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
921 |
908 |
$67K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,332 |
4,283 |
$64K |
| K0001 |
Standard wheelchair |
624 |
621 |
$22K |
| E0570 |
Nebulizer, with compressor |
202 |
202 |
$15K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
859 |
845 |
$10K |
| K0007 |
Extra heavy duty wheelchair |
49 |
49 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
102 |
102 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
189 |
189 |
$2K |
| A4617 |
Mouth piece |
189 |
189 |
$368.05 |
| A7015 |
Aerosol mask, used with dme nebulizer |
196 |
196 |
$179.72 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
189 |
189 |
$153.52 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
117 |
116 |
$0.00 |