| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
2,173 |
2,077 |
$47K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
808 |
772 |
$25K |
| K0003 |
Lightweight wheelchair |
300 |
281 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
162 |
148 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
328 |
224 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
137 |
128 |
$2K |
| E0272 |
Mattress, foam rubber |
358 |
343 |
$1K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
848 |
821 |
$709.58 |
| E0271 |
Mattress, innerspring |
902 |
879 |
$278.32 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
16 |
16 |
$228.43 |