| 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 |
509 |
484 |
$61K |
| K0001 |
Standard wheelchair |
451 |
400 |
$18K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
144 |
125 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
434 |
410 |
$9K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
33 |
25 |
$1K |
| S9999 |
Sales tax |
177 |
117 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
14 |
$895.97 |