| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0277 |
Powered pressure-reducing air mattress |
10,361 |
10,061 |
$5.00M |
| E1399 |
Durable medical equipment, miscellaneous |
4,923 |
2,609 |
$3.92M |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
2,863 |
734 |
$1.16M |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
9,989 |
9,877 |
$799K |
| K0001 |
Standard wheelchair |
14,558 |
14,264 |
$616K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
2,844 |
1,092 |
$480K |
| K0007 |
Extra heavy duty wheelchair |
2,643 |
2,611 |
$416K |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
1,779 |
1,757 |
$322K |
| E0304 |
Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress |
584 |
579 |
$266K |
| K0006 |
Heavy duty wheelchair |
2,201 |
2,155 |
$215K |
| K0003 |
Lightweight wheelchair |
3,301 |
3,218 |
$207K |
| E0147 |
Walker, heavy duty, multiple braking system, variable wheel resistance |
1,078 |
1,063 |
$185K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,604 |
2,547 |
$178K |
| K0806 |
Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds |
236 |
233 |
$154K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
93 |
93 |
$149K |
| E0635 |
Patient lift, electric with seat or sling |
1,096 |
1,076 |
$101K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
4,969 |
4,903 |
$93K |
| E0272 |
Mattress, foam rubber |
2,525 |
2,474 |
$93K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,270 |
1,239 |
$91K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,065 |
1,037 |
$87K |
| K0812 |
Power operated vehicle, not otherwise classified |
96 |
96 |
$83K |
| E0305 |
Bed side rails, half length |
6,638 |
6,548 |
$80K |
| E0245 |
Tub stool or bench |
779 |
769 |
$42K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
115 |
114 |
$37K |
| E0310 |
Bed side rails, full length |
2,221 |
2,208 |
$31K |
| K0807 |
Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds |
29 |
29 |
$31K |
| E0156 |
Seat attachment, walker |
2,130 |
2,093 |
$31K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
368 |
365 |
$29K |
| E1226 |
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
414 |
407 |
$27K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
886 |
860 |
$21K |
| E0271 |
Mattress, innerspring |
720 |
710 |
$16K |
| K0002 |
Standard hemi (low seat) wheelchair |
201 |
198 |
$13K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
66 |
54 |
$12K |
| E0912 |
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar |
213 |
212 |
$11K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
505 |
504 |
$11K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
97 |
96 |
$10K |
| K0004 |
High strength, lightweight wheelchair |
128 |
121 |
$9K |
| K0040 |
Adjustable angle footplate, each |
30 |
26 |
$4K |
| E1039 |
Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds |
149 |
147 |
$3K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
176 |
172 |
$3K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
28 |
28 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
18 |
18 |
$2K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
90 |
90 |
$706.00 |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
12 |
12 |
$149.24 |