| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,857 |
2,240 |
$39K |
| K0001 |
Standard wheelchair |
6,601 |
4,015 |
$30K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
787 |
467 |
$24K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
1,004 |
581 |
$20K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,505 |
917 |
$17K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
1,518 |
478 |
$11K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
766 |
454 |
$10K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,519 |
478 |
$6K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
766 |
454 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,829 |
1,745 |
$3K |
| E0141 |
Walker, rigid, wheeled, adjustable or fixed height |
285 |
183 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
763 |
449 |
$2K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
84 |
44 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
21 |
13 |
$85.36 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
150 |
110 |
$77.28 |