| 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 |
2,651 |
2,278 |
$157K |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
1,547 |
1,139 |
$121K |
| E0570 |
Nebulizer, with compressor |
1,293 |
1,073 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,273 |
1,037 |
$16K |
| A4554 |
Disposable underpads, all sizes |
732 |
519 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
112 |
37 |
$6K |
| K0001 |
Standard wheelchair |
318 |
273 |
$3K |