| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,468 |
4,735 |
$170K |
| E0260 |
Hosp bed semi-electr w/ matt |
7,906 |
5,512 |
$147K |
| K0002 |
Stnd hemi (low seat) whlchr |
10,447 |
6,997 |
$103K |
| E2611 |
Gen use back cush wdth <22in |
3,061 |
2,079 |
$102K |
| K0004 |
High strength ltwt whlchr |
5,444 |
3,977 |
$78K |
| K0001 |
Standard wheelchair |
8,366 |
5,895 |
$68K |
| K0003 |
Lightweight wheelchair |
6,164 |
4,191 |
$49K |
| E0630 |
Patient lift hydraulic |
4,088 |
2,778 |
$42K |
| E0431 |
Portable gaseous 02 |
5,499 |
4,016 |
$39K |
| K0006 |
Heavy duty wheelchair |
1,545 |
1,115 |
$32K |
| E0295 |
Hosp bed semi-elect w/o matt |
10,610 |
7,689 |
$29K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
7,321 |
5,231 |
$29K |
| E0570 |
Nebulizer with compression |
4,315 |
3,101 |
$26K |
| E0143 |
Walker folding wheeled w/o s |
1,302 |
978 |
$24K |
| K0007 |
Extra heavy duty wheelchair |
755 |
558 |
$23K |
| E0971 |
Wheelchair anti-tipping devi |
5,659 |
2,282 |
$21K |
| E0973 |
W/ch access det adj armrest |
2,381 |
957 |
$21K |
| K0821 |
Pwc gp 2 std port cap chair |
611 |
383 |
$19K |
| E0163 |
Commode chair with fixed arm |
1,682 |
1,186 |
$18K |
| E0184 |
Dry pressure mattress |
1,138 |
796 |
$16K |
| E2601 |
Gen w/c cushion wdth < 22 in |
2,429 |
1,672 |
$15K |
| K0195 |
Elevating whlchair leg rests |
7,714 |
5,433 |
$13K |
| E0961 |
Wheelchair brake extension |
1,587 |
1,102 |
$10K |
| E0305 |
Rails bed side half length |
10,210 |
7,226 |
$10K |
| E0181 |
Press pad alternating w/ pum |
1,269 |
888 |
$3K |
| E0141 |
Rigid wheeled walker adj/fix |
185 |
127 |
$2K |
| E0303 |
Hosp bed hvy dty xtra wide |
29 |
26 |
$2K |
| K0052 |
Swingaway detach ftrest repl |
989 |
978 |
$1K |
| E2202 |
Seat width 24-27 in |
246 |
180 |
$1K |
| E0156 |
Walker seat attachment |
620 |
466 |
$1K |
| E0159 |
Brake for wheeled walker |
408 |
297 |
$865.04 |
| E0155 |
Walker wheel attachment,pair |
218 |
148 |
$855.45 |
| E0910 |
Trapeze bar attached to bed |
401 |
263 |
$568.80 |
| E0165 |
Commode chair with detacharm |
77 |
61 |
$453.64 |
| E0601 |
Cont airway pressure device |
15 |
12 |
$448.70 |
| E2603 |
Skin protect wc cus wd <22in |
23 |
14 |
$443.88 |
| A7005 |
Nondisposable nebulizer set |
211 |
170 |
$290.74 |
| A7013 |
Disposable compressor filter |
16 |
12 |
$193.14 |
| E1038 |
Transport chair pt wt<=300lb |
97 |
74 |
$51.44 |
| A7003 |
Nebulizer administration set |
84 |
82 |
$11.01 |