| 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 |
2,389 |
1,398 |
$103K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,421 |
1,366 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,370 |
765 |
$7K |
| E0570 |
Nebulizer, with compressor |
346 |
234 |
$2K |
| K0001 |
Standard wheelchair |
335 |
182 |
$2K |