| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
1,501 |
1,492 |
$337K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,344 |
2,259 |
$336K |
| E1399 |
Durable medical equipment, miscellaneous |
4,286 |
3,092 |
$315K |
| K0001 |
Standard wheelchair |
2,001 |
1,808 |
$82K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
1,796 |
1,639 |
$73K |
| E0245 |
Tub stool or bench |
1,119 |
1,110 |
$56K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
1,738 |
1,149 |
$56K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,984 |
1,924 |
$51K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
587 |
540 |
$50K |
| E0315 |
Bed accessory: board, table, or support device, any type |
850 |
833 |
$49K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,363 |
1,284 |
$49K |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
1,228 |
1,211 |
$38K |
| E0135 |
Walker, folding (pickup), adjustable or fixed height |
502 |
496 |
$32K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
473 |
465 |
$29K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
373 |
370 |
$26K |
| E0246 |
Transfer tub rail attachment |
436 |
434 |
$17K |
| E0156 |
Seat attachment, walker |
436 |
411 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
39 |
36 |
$9K |
| E0244 |
Raised toilet seat |
194 |
191 |
$8K |
| E0190 |
Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories |
133 |
124 |
$8K |
| A9300 |
Exercise equipment |
119 |
106 |
$7K |
| E0215 |
Electric heat pad, moist |
71 |
69 |
$4K |
| A9280 |
Alert or alarm device, not otherwise classified |
74 |
62 |
$3K |
| E0243 |
Toilet rail, each |
77 |
76 |
$3K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
66 |
59 |
$2K |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
27 |
27 |
$1K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
14 |
13 |
$1K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
21 |
16 |
$1K |
| E0241 |
Bath tub wall rail, each |
47 |
24 |
$1K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
12 |
12 |
$1K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
12 |
12 |
$1K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
13 |
13 |
$1K |
| E0275 |
Bed pan, standard, metal or plastic |
13 |
13 |
$780.00 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
26 |
26 |
$720.00 |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
13 |
12 |
$535.00 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
19 |
19 |
$352.00 |