| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
42,342 |
41,918 |
$287K |
| E0260 |
Hosp bed semi-electr w/ matt |
16,039 |
15,898 |
$123K |
| E0143 |
Walker folding wheeled w/o s |
5,391 |
5,253 |
$97K |
| E1390 |
Oxygen concentrator |
2,841 |
2,820 |
$90K |
| E0630 |
Patient lift hydraulic |
5,196 |
5,081 |
$76K |
| E0295 |
Hosp bed semi-elect w/o matt |
2,678 |
2,671 |
$66K |
| E2611 |
Gen use back cush wdth <22in |
1,443 |
1,408 |
$59K |
| E0163 |
Commode chair with fixed arm |
2,786 |
2,687 |
$48K |
| K0195 |
Elevating whlchair leg rests |
11,403 |
11,238 |
$47K |
| K0003 |
Lightweight wheelchair |
3,561 |
3,535 |
$34K |
| E0247 |
Trans bench w/wo comm open |
332 |
330 |
$27K |
| E0971 |
Wheelchair anti-tipping devi |
4,720 |
2,576 |
$24K |
| E2601 |
Gen w/c cushion wdth < 22 in |
2,392 |
2,309 |
$24K |
| E0245 |
Tub stool or bench |
384 |
384 |
$21K |
| E0431 |
Portable gaseous 02 |
2,254 |
2,246 |
$18K |
| E0601 |
Cont airway pressure device |
1,278 |
1,277 |
$18K |
| E1038 |
Transport chair pt wt<=300lb |
3,636 |
3,626 |
$15K |
| K0006 |
Heavy duty wheelchair |
992 |
983 |
$15K |
| K0007 |
Extra heavy duty wheelchair |
375 |
374 |
$12K |
| E0181 |
Press pad alternating w/ pum |
2,418 |
2,405 |
$10K |
| E0961 |
Wheelchair brake extension |
3,597 |
2,075 |
$10K |
| E0600 |
Suction pump portab hom modl |
765 |
762 |
$9K |
| E0165 |
Commode chair with detacharm |
2,415 |
2,390 |
$9K |
| E0185 |
Gel pressure mattress pad |
215 |
203 |
$8K |
| E0156 |
Walker seat attachment |
2,106 |
2,080 |
$7K |
| E0570 |
Nebulizer with compression |
2,985 |
2,975 |
$7K |
| A4604 |
Tubing with heating element |
462 |
461 |
$6K |
| E0910 |
Trapeze bar attached to bed |
1,199 |
1,149 |
$5K |
| E0562 |
Humidifier heated used w pap |
135 |
135 |
$4K |
| A7034 |
Nasal application device |
224 |
224 |
$4K |
| A7030 |
Cpap full face mask |
99 |
98 |
$3K |
| E1226 |
Manual fully reclining back |
321 |
321 |
$3K |
| A7038 |
Pos airway pressure filter |
687 |
678 |
$3K |
| E0470 |
Rad w/o backup non-inv intfc |
65 |
65 |
$2K |
| E0277 |
Powered pres-redu air mattrs |
171 |
168 |
$2K |
| A7035 |
Pos airway press headgear |
254 |
254 |
$2K |
| A7031 |
Replacement facemask interfa |
51 |
50 |
$2K |
| E0635 |
Patient lift electric |
25 |
25 |
$1K |
| E0973 |
W/ch access det adj armrest |
343 |
215 |
$1K |
| E0940 |
Trapeze bar free standing |
181 |
179 |
$1K |
| E0303 |
Hosp bed hvy dty xtra wide |
37 |
37 |
$1K |
| K0002 |
Stnd hemi (low seat) whlchr |
49 |
48 |
$916.62 |
| E1392 |
Portable oxygen concentrator |
66 |
66 |
$861.00 |
| E0261 |
Hosp bed semi-electr w/o mat |
121 |
121 |
$629.29 |
| A7032 |
Replacement nasal cushion |
26 |
26 |
$570.86 |
| A7046 |
Repl water chamber, pap dev |
115 |
115 |
$398.74 |
| A7005 |
Nondisposable nebulizer set |
44 |
43 |
$237.48 |
| K0052 |
Swingaway detach ftrest repl |
12 |
12 |
$77.64 |
| A7037 |
Pos airway pressure tubing |
14 |
14 |
$9.88 |
| E0149 |
Heavy duty wheeled walker |
12 |
12 |
$7.86 |