| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,985 |
3,422 |
$249K |
| K0003 |
Lightweight wheelchair |
3,921 |
3,041 |
$182K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,087 |
2,432 |
$155K |
| K0004 |
High strength, lightweight wheelchair |
1,710 |
1,458 |
$94K |
| A7030 |
Full face mask used with positive airway pressure device, each |
810 |
707 |
$92K |
| A4554 |
Disposable underpads, all sizes |
1,456 |
1,276 |
$77K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
765 |
666 |
$57K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
673 |
517 |
$53K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,984 |
1,135 |
$52K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
951 |
822 |
$49K |
| K0001 |
Standard wheelchair |
2,220 |
1,760 |
$35K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
200 |
176 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
706 |
621 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,486 |
1,294 |
$32K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,115 |
967 |
$31K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
376 |
311 |
$28K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
1,415 |
1,088 |
$26K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
84 |
64 |
$18K |
| K0007 |
Extra heavy duty wheelchair |
119 |
102 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
95 |
78 |
$17K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
235 |
117 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
424 |
378 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,227 |
1,929 |
$13K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,131 |
877 |
$12K |
| K0006 |
Heavy duty wheelchair |
152 |
105 |
$10K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
339 |
276 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
144 |
130 |
$7K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
38 |
27 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
391 |
351 |
$4K |
| E1020 |
Residual limb support system for wheelchair, any type |
182 |
147 |
$4K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
31 |
24 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
109 |
90 |
$3K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
39 |
26 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
51 |
39 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
33 |
25 |
$2K |
| E0570 |
Nebulizer, with compressor |
32 |
28 |
$2K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
211 |
97 |
$1K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
17 |
12 |
$1K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15 |
13 |
$543.44 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
20 |
12 |
$494.13 |
| E0294 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress |
32 |
24 |
$187.41 |