| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,393 |
1,076 |
$117K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,914 |
2,245 |
$107K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,701 |
1,541 |
$71K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
4,796 |
3,365 |
$59K |
| K0001 |
Standard wheelchair |
3,162 |
2,296 |
$25K |
| K0003 |
Lightweight wheelchair |
2,122 |
1,563 |
$22K |
| K0800 |
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
56 |
45 |
$12K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
751 |
528 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
397 |
373 |
$7K |
| E0570 |
Nebulizer, with compressor |
740 |
538 |
$7K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
74 |
49 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
862 |
832 |
$4K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
84 |
67 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
703 |
494 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
194 |
69 |
$764.77 |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,043 |
802 |
$456.51 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
155 |
53 |
$421.29 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
56 |
37 |
$338.21 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
66 |
42 |
$200.64 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
73 |
29 |
$191.44 |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
17 |
13 |
$185.08 |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
23 |
12 |
$117.98 |