| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
3,948 |
3,651 |
$171K |
| K0003 |
Lightweight wheelchair |
1,846 |
1,684 |
$145K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,811 |
1,702 |
$88K |
| S9999 |
Sales tax |
3,767 |
2,960 |
$46K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
1,087 |
1,008 |
$39K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
633 |
594 |
$33K |
| K0002 |
Standard hemi (low seat) wheelchair |
644 |
597 |
$26K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
602 |
443 |
$20K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
631 |
318 |
$15K |
| E0156 |
Seat attachment, walker |
985 |
931 |
$13K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
113 |
104 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
454 |
439 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
606 |
569 |
$6K |
| K0006 |
Heavy duty wheelchair |
67 |
64 |
$5K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
155 |
145 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
169 |
161 |
$3K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
277 |
141 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
153 |
145 |
$2K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
58 |
50 |
$2K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
14 |
13 |
$1K |
| K0004 |
High strength, lightweight wheelchair |
24 |
24 |
$1K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
174 |
159 |
$960.86 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
13 |
13 |
$404.04 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
38 |
37 |
$309.65 |