| 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 |
13,192 |
13,123 |
$1.17M |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
5,681 |
5,557 |
$475K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,130 |
13,031 |
$304K |
| K0001 |
Standard wheelchair |
5,443 |
5,399 |
$186K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
673 |
640 |
$111K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28,600 |
27,841 |
$65K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
767 |
734 |
$28K |
| A7015 |
Aerosol mask, used with dme nebulizer |
28,751 |
27,901 |
$24K |
| K0006 |
Heavy duty wheelchair |
278 |
273 |
$13K |
| K0007 |
Extra heavy duty wheelchair |
220 |
218 |
$11K |
| E0570 |
Nebulizer, with compressor |
171 |
169 |
$9K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
76 |
72 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
33 |
31 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
22 |
22 |
$401.71 |
| E0601 |
Continuous positive airway pressure (cpap) device |
12 |
12 |
$323.67 |