| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
8,064 |
7,894 |
$798K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
8,312 |
8,152 |
$139K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
4,796 |
4,715 |
$109K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,814 |
3,718 |
$81K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,239 |
1,215 |
$72K |
| K0003 |
Lightweight wheelchair |
3,818 |
3,755 |
$55K |
| K0001 |
Standard wheelchair |
3,246 |
3,170 |
$47K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,125 |
1,077 |
$27K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
887 |
858 |
$18K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,915 |
2,844 |
$14K |
| A7015 |
Aerosol mask, used with dme nebulizer |
9,507 |
9,273 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
614 |
591 |
$9K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
351 |
332 |
$7K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
546 |
345 |
$7K |
| A4554 |
Disposable underpads, all sizes |
208 |
193 |
$6K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
289 |
269 |
$4K |
| A4614 |
Peak expiratory flow rate meter, hand held |
228 |
214 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,893 |
2,838 |
$3K |
| K0007 |
Extra heavy duty wheelchair |
27 |
26 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
335 |
325 |
$2K |
| A4335 |
Incontinence supply; miscellaneous |
310 |
288 |
$1K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
71 |
39 |
$773.72 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
498 |
486 |
$738.42 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
41 |
26 |
$431.11 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
15 |
13 |
$117.15 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
24 |
24 |
$46.99 |