| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,333 |
3,099 |
$89K |
| K0001 |
Standard wheelchair |
5,818 |
4,766 |
$86K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,957 |
1,605 |
$72K |
| E0601 |
Continuous positive airway pressure (cpap) device |
804 |
728 |
$57K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,827 |
1,214 |
$38K |
| K0003 |
Lightweight wheelchair |
1,345 |
950 |
$31K |
| E0570 |
Nebulizer, with compressor |
2,070 |
1,617 |
$26K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,199 |
841 |
$20K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,932 |
2,317 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,632 |
1,508 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
935 |
864 |
$13K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
1,408 |
1,220 |
$12K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
298 |
286 |
$10K |
| E0156 |
Seat attachment, walker |
1,109 |
1,024 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
211 |
196 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
525 |
482 |
$7K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
349 |
287 |
$6K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
484 |
294 |
$5K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
41 |
40 |
$5K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
392 |
290 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
444 |
411 |
$4K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
262 |
166 |
$3K |
| K0006 |
Heavy duty wheelchair |
53 |
38 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
502 |
461 |
$2K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
271 |
160 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
570 |
522 |
$879.31 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
138 |
125 |
$550.83 |
| E0245 |
Tub stool or bench |
17 |
16 |
$385.75 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
31 |
26 |
$213.53 |