| 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 |
1,340 |
1,332 |
$27K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,848 |
1,786 |
$18K |
| K0001 |
Standard wheelchair |
1,913 |
1,906 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
937 |
935 |
$4K |
| K0003 |
Lightweight wheelchair |
508 |
506 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
292 |
273 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
588 |
585 |
$3K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
165 |
162 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,609 |
1,599 |
$1K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
167 |
155 |
$1K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
26 |
25 |
$980.21 |
| E0156 |
Seat attachment, walker |
323 |
310 |
$976.70 |
| E0570 |
Nebulizer, with compressor |
912 |
909 |
$974.31 |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
85 |
78 |
$830.84 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
651 |
648 |
$826.47 |
| A4629 |
Tracheostomy care kit for established tracheostomy |
13 |
13 |
$641.59 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
159 |
159 |
$227.36 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
126 |
126 |
$206.38 |
| A7002 |
Tubing, used with suction pump, each |
279 |
269 |
$193.62 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
51 |
51 |
$150.31 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
26 |
13 |
$139.64 |
| A7000 |
Canister, disposable, used with suction pump, each |
97 |
94 |
$102.05 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
13 |
12 |
$25.75 |
| A4217 |
Sterile water/saline, 500 ml |
14 |
12 |
$15.80 |