| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0003 |
Lightweight wheelchair |
4,744 |
4,589 |
$302K |
| K0004 |
High strength, lightweight wheelchair |
2,346 |
2,203 |
$174K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,616 |
2,414 |
$143K |
| E1238 |
Wheelchair, pediatric size, folding, adjustable, without seating system |
501 |
500 |
$80K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,374 |
1,210 |
$68K |
| K0001 |
Standard wheelchair |
1,362 |
1,310 |
$54K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
6,934 |
6,570 |
$50K |
| E0570 |
Nebulizer, with compressor |
392 |
386 |
$37K |
| E0277 |
Powered pressure-reducing air mattress |
354 |
321 |
$32K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
688 |
655 |
$27K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
391 |
384 |
$21K |
| E1226 |
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
439 |
428 |
$19K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
229 |
218 |
$14K |
| E1224 |
Wheelchair with detachable arms, elevating legrests |
258 |
253 |
$14K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
279 |
269 |
$11K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,574 |
2,469 |
$9K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
1,772 |
1,696 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
535 |
513 |
$5K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
424 |
362 |
$4K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
70 |
65 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
33 |
28 |
$1K |
| E0966 |
Manual wheelchair accessory, headrest extension, each |
24 |
24 |
$118.17 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
55 |
55 |
$113.95 |