| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
5,728 |
2,790 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,077 |
442 |
$11K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
454 |
286 |
$6K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
122 |
75 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,572 |
1,220 |
$3K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
39 |
24 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
471 |
222 |
$2K |
| E0570 |
Nebulizer, with compressor |
76 |
39 |
$202.23 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
83 |
12 |
$180.21 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
30 |
12 |
$122.82 |