| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0003 |
Lightweight wheelchair |
3,067 |
3,039 |
$54K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
706 |
688 |
$49K |
| K0001 |
Standard wheelchair |
2,216 |
2,183 |
$45K |
| T4541 |
Incontinence product, disposable underpad, large, each |
733 |
731 |
$45K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,342 |
1,335 |
$38K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
853 |
847 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
775 |
756 |
$21K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
198 |
198 |
$13K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
391 |
383 |
$11K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
128 |
112 |
$6K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
173 |
166 |
$6K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
1,056 |
1,045 |
$6K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
49 |
49 |
$5K |
| E0570 |
Nebulizer, with compressor |
747 |
740 |
$4K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
178 |
176 |
$4K |
| E0156 |
Seat attachment, walker |
226 |
226 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
189 |
187 |
$357.71 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
40 |
38 |
$244.82 |
| A7015 |
Aerosol mask, used with dme nebulizer |
289 |
287 |
$204.94 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
139 |
138 |
$60.57 |
| A4259 |
Lancets, per box of 100 |
40 |
38 |
$14.10 |