| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1150 |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
1,047 |
598 |
$17K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
464 |
301 |
$14K |
| K0001 |
Standard wheelchair |
1,169 |
767 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
348 |
233 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
97 |
54 |
$4K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
254 |
171 |
$3K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
149 |
96 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,107 |
622 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
79 |
53 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
236 |
143 |
$1K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
169 |
69 |
$1K |
| E0570 |
Nebulizer, with compressor |
13 |
12 |
$527.20 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
15 |
12 |
$321.91 |
| A7000 |
Canister, disposable, used with suction pump, each |
39 |
27 |
$301.75 |