| 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 |
3,659 |
3,358 |
$72K |
| K0003 |
Lightweight wheelchair |
5,058 |
4,683 |
$45K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,602 |
2,308 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,761 |
2,512 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
831 |
754 |
$11K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,913 |
3,567 |
$10K |
| K0007 |
Extra heavy duty wheelchair |
318 |
293 |
$8K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
540 |
254 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,071 |
1,049 |
$6K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
596 |
285 |
$3K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
177 |
160 |
$3K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
185 |
168 |
$3K |
| K0001 |
Standard wheelchair |
407 |
382 |
$3K |
| K0004 |
High strength, lightweight wheelchair |
372 |
355 |
$2K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
517 |
245 |
$2K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
185 |
166 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
86 |
78 |
$1K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
201 |
197 |
$1K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
51 |
44 |
$909.88 |
| K0006 |
Heavy duty wheelchair |
44 |
36 |
$719.71 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
16 |
14 |
$27.89 |