| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,494 |
3,096 |
$163K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,418 |
1,090 |
$70K |
| K0001 |
Standard wheelchair |
4,991 |
4,217 |
$53K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,754 |
1,510 |
$44K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,522 |
2,321 |
$33K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
2,466 |
2,251 |
$29K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
2,333 |
2,174 |
$11K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,218 |
912 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,475 |
1,019 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
274 |
245 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
154 |
122 |
$5K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
282 |
246 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
170 |
39 |
$1K |
| E0277 |
Powered pressure-reducing air mattress |
113 |
77 |
$1K |
| K0003 |
Lightweight wheelchair |
44 |
41 |
$832.89 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
34 |
27 |
$631.78 |
| E0570 |
Nebulizer, with compressor |
13 |
12 |
$179.53 |
| E1353 |
Regulator |
29 |
25 |
$0.00 |