| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,581 |
856 |
$381K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,730 |
1,705 |
$222K |
| K0001 |
Standard wheelchair |
1,429 |
1,354 |
$63K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,845 |
1,821 |
$42K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
278 |
278 |
$22K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
148 |
134 |
$15K |
| E0570 |
Nebulizer, with compressor |
83 |
81 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
158 |
146 |
$10K |
| E0305 |
Bed side rails, half length |
175 |
158 |
$3K |
| E0271 |
Mattress, innerspring |
116 |
103 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
12 |
12 |
$118.86 |