| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
31,138 |
20,617 |
$392K |
| E0260 |
Hosp bed semi-electr w/ matt |
42,791 |
27,863 |
$327K |
| K0001 |
Standard wheelchair |
62,182 |
41,671 |
$314K |
| E2611 |
Gen use back cush wdth <22in |
6,530 |
4,414 |
$176K |
| E0431 |
Portable gaseous 02 |
30,895 |
20,498 |
$161K |
| E0265 |
Hosp bed total electr w/ mat |
5,847 |
3,540 |
$153K |
| E0630 |
Patient lift hydraulic |
12,422 |
8,104 |
$79K |
| E0141 |
Rigid wheeled walker adj/fix |
7,810 |
5,334 |
$75K |
| K0195 |
Elevating whlchair leg rests |
46,276 |
32,426 |
$51K |
| E0163 |
Commode chair with fixed arm |
5,597 |
3,857 |
$45K |
| E0277 |
Powered pres-redu air mattrs |
4,255 |
2,938 |
$34K |
| E0973 |
W/ch access det adj armrest |
11,209 |
4,320 |
$27K |
| K0003 |
Lightweight wheelchair |
4,384 |
3,187 |
$24K |
| B4154 |
Ef spec metabolic noninherit |
707 |
382 |
$24K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,277 |
792 |
$24K |
| E0971 |
Wheelchair anti-tipping devi |
11,019 |
4,132 |
$22K |
| E0570 |
Nebulizer with compression |
17,594 |
11,726 |
$20K |
| K0006 |
Heavy duty wheelchair |
2,279 |
1,569 |
$19K |
| E0185 |
Gel pressure mattress pad |
2,544 |
1,677 |
$17K |
| E0635 |
Patient lift electric |
607 |
380 |
$14K |
| E2601 |
Gen w/c cushion wdth < 22 in |
6,379 |
4,343 |
$12K |
| B4034 |
Enter feed supkit syr by day |
2,067 |
1,331 |
$10K |
| B4035 |
Enteral feed supp pump per d |
1,114 |
594 |
$9K |
| E0600 |
Suction pump portab hom modl |
2,548 |
1,617 |
$9K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
48 |
31 |
$5K |
| E0181 |
Press pad alternating w/ pum |
3,352 |
2,193 |
$4K |
| E1038 |
Transport chair pt wt<=300lb |
6,162 |
4,112 |
$4K |
| E1226 |
Manual fully reclining back |
141 |
91 |
$4K |
| A7005 |
Nondisposable nebulizer set |
1,361 |
942 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
457 |
393 |
$3K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,137 |
899 |
$3K |
| E0156 |
Walker seat attachment |
2,462 |
1,652 |
$2K |
| A4628 |
Oropharyngeal suction cath |
308 |
188 |
$1K |
| E0601 |
Cont airway pressure device |
238 |
211 |
$914.59 |
| B9002 |
Enter nutr inf pump any type |
125 |
75 |
$861.44 |
| K0002 |
Stnd hemi (low seat) whlchr |
455 |
425 |
$602.23 |
| A7000 |
Disposable canister for pump |
895 |
538 |
$350.49 |
| B4150 |
Ef complet w/intact nutrient |
37 |
37 |
$198.06 |
| A7002 |
Tubing used w suction pump |
1,557 |
535 |
$83.04 |
| E0470 |
Rad w/o backup non-inv intfc |
26 |
26 |
$18.00 |
| E0100 |
Cane adjust/fixed with tip |
13 |
13 |
$0.00 |