| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,468 |
4,735 |
$170K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
7,906 |
5,512 |
$147K |
| K0002 |
Standard hemi (low seat) wheelchair |
10,447 |
6,997 |
$103K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
3,061 |
2,079 |
$102K |
| K0004 |
High strength, lightweight wheelchair |
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 or mechanical, includes any seat, sling, strap(s) or pad(s) |
4,088 |
2,778 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,499 |
4,016 |
$39K |
| K0006 |
Heavy duty wheelchair |
1,545 |
1,115 |
$32K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
10,610 |
7,689 |
$29K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
7,321 |
5,231 |
$29K |
| E0570 |
Nebulizer, with compressor |
4,315 |
3,101 |
$26K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,302 |
978 |
$24K |
| K0007 |
Extra heavy duty wheelchair |
755 |
558 |
$23K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
5,659 |
2,282 |
$21K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
2,381 |
957 |
$21K |
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
611 |
383 |
$19K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,682 |
1,186 |
$18K |
| E0184 |
Dry pressure mattress |
1,138 |
796 |
$16K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
2,429 |
1,672 |
$15K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
7,714 |
5,433 |
$13K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
1,587 |
1,102 |
$10K |
| E0305 |
Bed side rails, half length |
10,210 |
7,226 |
$10K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
1,269 |
888 |
$3K |
| E0141 |
Walker, rigid, wheeled, adjustable or fixed height |
185 |
127 |
$2K |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
29 |
26 |
$2K |
| K0052 |
Swingaway, detachable footrests, replacement only, each |
989 |
978 |
$1K |
| E2202 |
Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches |
246 |
180 |
$1K |
| E0156 |
Seat attachment, walker |
620 |
466 |
$1K |
| E0159 |
Brake attachment for wheeled walker, replacement, each |
408 |
297 |
$865.04 |
| E0155 |
Wheel attachment, rigid pick-up walker, per pair |
218 |
148 |
$855.45 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
401 |
263 |
$568.80 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
77 |
61 |
$453.64 |
| E0601 |
Continuous positive airway pressure (cpap) device |
15 |
12 |
$448.70 |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
23 |
14 |
$443.88 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
211 |
170 |
$290.74 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
16 |
12 |
$193.14 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
97 |
74 |
$51.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
84 |
82 |
$11.01 |