| 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 |
4,753 |
4,173 |
$357K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,566 |
3,224 |
$51K |
| E0570 |
Nebulizer, with compressor |
186 |
118 |
$5K |
| K0001 |
Standard wheelchair |
503 |
302 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
229 |
132 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
28 |
24 |
$537.20 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
15 |
$451.60 |
| K0052 |
Swingaway, detachable footrests, replacement only, each |
237 |
158 |
$211.65 |