| 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 |
2,909 |
2,573 |
$182K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,203 |
1,099 |
$24K |
| K0001 |
Standard wheelchair |
475 |
445 |
$8K |
| E0570 |
Nebulizer, with compressor |
95 |
90 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
60 |
54 |
$2K |