| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,610 |
3,122 |
$139K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,390 |
986 |
$63K |
| K0001 |
Standard wheelchair |
4,233 |
3,679 |
$44K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,275 |
1,117 |
$42K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
2,746 |
2,204 |
$25K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,361 |
2,163 |
$24K |
| E0570 |
Nebulizer, with compressor |
1,022 |
930 |
$21K |
| E0601 |
Continuous positive airway pressure (cpap) device |
269 |
233 |
$14K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
2,325 |
2,137 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,544 |
933 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
154 |
131 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
148 |
126 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
37 |
37 |
$793.98 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
27 |
25 |
$598.01 |
| A7015 |
Aerosol mask, used with dme nebulizer |
39 |
37 |
$36.14 |