| 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 |
2,198 |
2,161 |
$84K |
| K0001 |
Standard wheelchair |
3,023 |
2,975 |
$44K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,259 |
1,231 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,583 |
1,579 |
$19K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
105 |
105 |
$5K |
| E0570 |
Nebulizer, with compressor |
218 |
214 |
$2K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
37 |
37 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
158 |
156 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
41 |
41 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
39 |
39 |
$633.47 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
37 |
37 |
$384.00 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
38 |
38 |
$251.56 |