| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
7,278 |
4,991 |
$52K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
7,751 |
5,540 |
$41K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,471 |
1,218 |
$36K |
| K0004 |
High strength, lightweight wheelchair |
2,671 |
1,676 |
$21K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
11,040 |
7,323 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
915 |
627 |
$11K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,086 |
1,419 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,296 |
1,056 |
$4K |
| K0003 |
Lightweight wheelchair |
569 |
356 |
$4K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
601 |
424 |
$4K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
363 |
127 |
$3K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
241 |
165 |
$2K |
| E0570 |
Nebulizer, with compressor |
2,872 |
2,240 |
$2K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
317 |
212 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
324 |
216 |
$1K |
| K0002 |
Standard hemi (low seat) wheelchair |
96 |
67 |
$959.51 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
286 |
192 |
$376.04 |
| E0277 |
Powered pressure-reducing air mattress |
102 |
87 |
$194.90 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
52 |
38 |
$37.50 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
57 |
52 |
$23.48 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
36 |
25 |
$19.03 |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
187 |
158 |
$0.00 |