| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
2,200 |
2,185 |
$35K |
| A4554 |
Disposable underpads, all sizes |
775 |
765 |
$28K |
| E0601 |
Continuous positive airway pressure (cpap) device |
348 |
344 |
$22K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
227 |
219 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
513 |
505 |
$13K |
| A4335 |
Incontinence supply; miscellaneous |
986 |
974 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
805 |
797 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
159 |
156 |
$3K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
12 |
12 |
$2K |
| K0003 |
Lightweight wheelchair |
78 |
77 |
$1K |