| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1399 |
Durable medical equipment, miscellaneous |
100 |
51 |
$92K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,831 |
1,637 |
$77K |
| K0001 |
Standard wheelchair |
1,633 |
1,527 |
$38K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
763 |
725 |
$35K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
329 |
308 |
$12K |
| K0003 |
Lightweight wheelchair |
292 |
279 |
$9K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
113 |
107 |
$7K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
311 |
298 |
$6K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
402 |
235 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
39 |
38 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
169 |
161 |
$1K |
| K0006 |
Heavy duty wheelchair |
12 |
12 |
$714.86 |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$703.60 |
| E0156 |
Seat attachment, walker |
37 |
37 |
$364.88 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
12 |
12 |
$310.98 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25 |
24 |
$281.42 |