| 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 |
703 |
691 |
$32K |
| K0001 |
Standard wheelchair |
337 |
337 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
90 |
90 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
38 |
37 |
$311.61 |
| E0570 |
Nebulizer, with compressor |
214 |
214 |
$193.41 |