| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0277 |
Powered pressure-reducing air mattress |
2,455 |
2,349 |
$827K |
| 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 |
992 |
946 |
$152K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
117 |
109 |
$109K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,205 |
1,122 |
$58K |
| K0001 |
Standard wheelchair |
1,683 |
1,613 |
$54K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,414 |
1,304 |
$19K |
| E0570 |
Nebulizer, with compressor |
87 |
87 |
$9K |
| K0007 |
Extra heavy duty wheelchair |
67 |
65 |
$9K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
106 |
102 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
384 |
377 |
$5K |
| E0305 |
Bed side rails, half length |
117 |
111 |
$917.21 |
| A7035 |
Headgear used with positive airway pressure device |
26 |
26 |
$697.09 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
16 |
14 |
$550.65 |
| E0272 |
Mattress, foam rubber |
58 |
55 |
$465.62 |
| A7037 |
Tubing used with positive airway pressure device |
13 |
13 |
$269.51 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13 |
13 |
$45.68 |