| 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 |
2,327 |
2,135 |
$104K |
| E0570 |
Nebulizer, with compressor |
1,280 |
1,211 |
$15K |
| K0001 |
Standard wheelchair |
711 |
702 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,244 |
1,156 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
115 |
111 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
378 |
363 |
$2K |