| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
3,492 |
1,658 |
$1.92M |
| K0005 |
Ultralightweight wheelchair |
933 |
619 |
$993K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
925 |
616 |
$805K |
| E2510 |
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access |
78 |
66 |
$405K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
1,391 |
842 |
$157K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
2,569 |
1,412 |
$134K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
4,931 |
4,171 |
$123K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
4,832 |
3,007 |
$118K |
| E2613 |
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware |
630 |
372 |
$111K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,661 |
1,430 |
$111K |
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
1,230 |
1,042 |
$99K |
| E0570 |
Nebulizer, with compressor |
4,556 |
3,829 |
$85K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,331 |
1,729 |
$79K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,082 |
1,234 |
$71K |
| E2203 |
Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches |
221 |
162 |
$67K |
| K0040 |
Adjustable angle footplate, each |
1,218 |
676 |
$64K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
251 |
172 |
$53K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
1,163 |
767 |
$46K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
277 |
162 |
$46K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
20 |
12 |
$41K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
436 |
249 |
$35K |
| E2211 |
Manual wheelchair accessory, pneumatic propulsion tire, any size, each |
959 |
585 |
$34K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,399 |
1,218 |
$32K |
| E1399 |
Durable medical equipment, miscellaneous |
15 |
14 |
$32K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
1,433 |
836 |
$32K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,286 |
1,124 |
$30K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
637 |
438 |
$23K |
| K0002 |
Standard hemi (low seat) wheelchair |
1,214 |
989 |
$22K |
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
42 |
24 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,642 |
1,265 |
$19K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
42 |
36 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
459 |
418 |
$12K |
| E2300 |
Wheelchair accessory, power seat elevation system, any type |
15 |
12 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
967 |
805 |
$9K |
| E1225 |
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each |
33 |
24 |
$9K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
27 |
18 |
$9K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
501 |
389 |
$8K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
103 |
81 |
$7K |
| E2359 |
Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
22 |
13 |
$7K |
| E0954 |
Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot |
150 |
83 |
$7K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
981 |
887 |
$7K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
587 |
286 |
$6K |
| E2231 |
Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware |
62 |
46 |
$6K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
218 |
197 |
$5K |
| E2311 |
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
41 |
24 |
$5K |
| E0156 |
Seat attachment, walker |
1,061 |
935 |
$5K |
| E2615 |
Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware |
17 |
12 |
$5K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
65 |
53 |
$4K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
352 |
207 |
$4K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
536 |
486 |
$3K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
53 |
29 |
$3K |
| K0001 |
Standard wheelchair |
172 |
166 |
$2K |
| E0184 |
Dry pressure mattress |
55 |
49 |
$975.27 |
| A7015 |
Aerosol mask, used with dme nebulizer |
982 |
825 |
$867.20 |
| K0020 |
Fixed, adjustable height armrest, pair |
36 |
19 |
$754.00 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
144 |
117 |
$475.66 |
| E0601 |
Continuous positive airway pressure (cpap) device |
15 |
12 |
$201.21 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
131 |
94 |
$189.58 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
65 |
53 |
$35.03 |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
21 |
12 |
$0.00 |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
20 |
12 |
$0.00 |