| 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 |
3,150 |
2,308 |
$88K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,803 |
1,549 |
$61K |
| K0001 |
Standard wheelchair |
4,421 |
3,310 |
$37K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,467 |
1,718 |
$34K |
| K0003 |
Lightweight wheelchair |
1,161 |
853 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,383 |
1,713 |
$13K |
| K0006 |
Heavy duty wheelchair |
269 |
210 |
$10K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,331 |
1,778 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
407 |
311 |
$8K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
522 |
360 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,078 |
955 |
$5K |
| E0570 |
Nebulizer, with compressor |
405 |
330 |
$2K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
323 |
224 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
30 |
24 |
$260.03 |