| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2228 |
Manual wheelchair accessory, wheel braking system and lock, complete, each |
120,828 |
42,440 |
$990K |
| E2627 |
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type |
13,043 |
4,236 |
$967K |
| K0001 |
Standard wheelchair |
62,881 |
41,305 |
$518K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
20,030 |
12,721 |
$232K |
| E2606 |
Positioning wheelchair seat cushion, width 22 inches or greater, any depth |
5,518 |
3,306 |
$183K |
| K0006 |
Heavy duty wheelchair |
5,390 |
3,652 |
$101K |
| E2613 |
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware |
4,263 |
2,482 |
$73K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
8,598 |
5,571 |
$72K |
| K0003 |
Lightweight wheelchair |
4,243 |
2,771 |
$51K |
| K0007 |
Extra heavy duty wheelchair |
2,037 |
1,387 |
$50K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,151 |
1,423 |
$46K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
4,443 |
2,835 |
$44K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
11,713 |
3,997 |
$43K |
| E0141 |
Walker, rigid, wheeled, adjustable or fixed height |
3,818 |
2,516 |
$41K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
13,411 |
4,296 |
$38K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
2,351 |
1,392 |
$33K |
| E2631 |
Wheelchair accessory, addition to mobile arm support, elevating proximal arm |
3,636 |
1,127 |
$29K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
8,328 |
6,131 |
$27K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
1,628 |
952 |
$26K |
| 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 |
656 |
421 |
$25K |
| E0570 |
Nebulizer, with compressor |
4,657 |
3,180 |
$21K |
| E0140 |
Walker, with trunk support, adjustable or fixed height, any type |
19,765 |
13,824 |
$17K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
17,011 |
10,936 |
$17K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
4,572 |
3,122 |
$11K |
| E0271 |
Mattress, innerspring |
1,517 |
948 |
$10K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
3,980 |
1,241 |
$8K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
2,153 |
1,406 |
$8K |
| K0004 |
High strength, lightweight wheelchair |
769 |
557 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
318 |
250 |
$7K |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
4,547 |
1,613 |
$6K |
| E0988 |
Manual wheelchair accessory, lever-activated, wheel drive, pair |
661 |
460 |
$6K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
260 |
180 |
$6K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
125 |
122 |
$5K |
| E0371 |
Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width |
2,589 |
1,779 |
$5K |
| E0156 |
Seat attachment, walker |
2,679 |
1,772 |
$5K |
| K0002 |
Standard hemi (low seat) wheelchair |
211 |
174 |
$4K |
| E0974 |
Manual wheelchair accessory, anti-rollback device, each |
458 |
161 |
$2K |
| K0040 |
Adjustable angle footplate, each |
465 |
162 |
$2K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
306 |
220 |
$2K |
| E2614 |
Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware |
147 |
129 |
$2K |
| E0310 |
Bed side rails, full length |
846 |
561 |
$2K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
489 |
309 |
$1K |
| E0277 |
Powered pressure-reducing air mattress |
152 |
116 |
$1K |
| E0940 |
Trapeze bar, free standing, complete with grab bar |
325 |
205 |
$999.60 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
344 |
158 |
$967.68 |
| K0065 |
Spoke protectors, each |
469 |
162 |
$574.36 |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
37 |
27 |
$569.24 |
| K0038 |
Leg strap, each |
476 |
165 |
$317.74 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
37 |
25 |
$67.32 |
| E0372 |
Powered air overlay for mattress, standard mattress length and width |
369 |
339 |
$38.44 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
22 |
12 |
$32.73 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
12 |
$5.74 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
37 |
25 |
$1.63 |