| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
6,704 |
3,990 |
$38K |
| K0003 |
Lightweight wheelchair |
1,426 |
889 |
$16K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,096 |
1,262 |
$15K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,104 |
646 |
$7K |
| E0141 |
Walker, rigid, wheeled, adjustable or fixed height |
449 |
300 |
$5K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
542 |
294 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
5,072 |
3,056 |
$3K |
| E0277 |
Powered pressure-reducing air mattress |
165 |
84 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
289 |
196 |
$2K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
237 |
160 |
$1K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
113 |
65 |
$1K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
482 |
173 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
111 |
88 |
$970.64 |
| E0570 |
Nebulizer, with compressor |
525 |
323 |
$619.80 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
248 |
171 |
$587.71 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
437 |
162 |
$476.48 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
574 |
381 |
$269.10 |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
23 |
21 |
$94.15 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
20 |
12 |
$41.14 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
12 |
$21.13 |
| E0156 |
Seat attachment, walker |
19 |
16 |
$9.42 |