| 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 |
4,175 |
3,827 |
$123K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,708 |
2,452 |
$15K |
| K0003 |
Lightweight wheelchair |
749 |
666 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
67 |
65 |
$2K |
| E0570 |
Nebulizer, with compressor |
359 |
322 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
14 |
13 |
$89.94 |