| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0260 |
Hosp bed semi-electr w/ matt |
10,763 |
9,207 |
$97K |
| E1390 |
Oxygen concentrator |
4,553 |
4,128 |
$65K |
| K0001 |
Standard wheelchair |
10,049 |
8,735 |
$43K |
| E2611 |
Gen use back cush wdth <22in |
806 |
739 |
$22K |
| E0185 |
Gel pressure mattress pad |
727 |
656 |
$20K |
| E0630 |
Patient lift hydraulic |
2,991 |
2,491 |
$20K |
| E0143 |
Walker folding wheeled w/o s |
1,437 |
1,324 |
$17K |
| K0003 |
Lightweight wheelchair |
2,696 |
2,467 |
$16K |
| E0601 |
Cont airway pressure device |
1,347 |
1,045 |
$15K |
| E0163 |
Commode chair with fixed arm |
1,035 |
921 |
$14K |
| E0431 |
Portable gaseous 02 |
4,006 |
3,661 |
$12K |
| A7030 |
Cpap full face mask |
340 |
299 |
$9K |
| E0971 |
Wheelchair anti-tipping devi |
1,470 |
757 |
$9K |
| A4604 |
Tubing with heating element |
755 |
652 |
$9K |
| E0973 |
W/ch access det adj armrest |
601 |
316 |
$7K |
| E2601 |
Gen w/c cushion wdth < 22 in |
1,002 |
907 |
$7K |
| A7031 |
Replacement facemask interfa |
538 |
456 |
$7K |
| E0265 |
Hosp bed total electr w/ mat |
429 |
401 |
$6K |
| E1035 |
Patient transfer system <300 |
87 |
78 |
$6K |
| K0195 |
Elevating whlchair leg rests |
2,723 |
2,163 |
$5K |
| K0006 |
Heavy duty wheelchair |
400 |
358 |
$5K |
| E0570 |
Nebulizer with compression |
1,110 |
1,013 |
$5K |
| E0961 |
Wheelchair brake extension |
1,131 |
591 |
$4K |
| E1038 |
Transport chair pt wt<=300lb |
1,539 |
1,436 |
$4K |
| E0240 |
Bath/shower chair |
93 |
83 |
$3K |
| E0181 |
Press pad alternating w/ pum |
892 |
793 |
$2K |
| A7035 |
Pos airway press headgear |
379 |
335 |
$2K |
| E0600 |
Suction pump portab hom modl |
238 |
215 |
$2K |
| E0951 |
Loop heel |
782 |
414 |
$2K |
| E0562 |
Humidifier heated used w pap |
59 |
53 |
$2K |
| A7038 |
Pos airway pressure filter |
1,164 |
952 |
$1K |
| A7034 |
Nasal application device |
53 |
51 |
$965.92 |
| E0156 |
Walker seat attachment |
391 |
363 |
$957.98 |
| A7046 |
Repl water chamber, pap dev |
108 |
91 |
$326.24 |
| E1392 |
Portable oxygen concentrator |
41 |
37 |
$319.66 |
| E0277 |
Powered pres-redu air mattrs |
34 |
25 |
$315.88 |
| E0165 |
Commode chair with detacharm |
70 |
62 |
$290.30 |
| K0004 |
High strength ltwt whlchr |
40 |
38 |
$249.08 |
| A7032 |
Replacement nasal cushion |
15 |
13 |
$195.00 |
| K0007 |
Extra heavy duty wheelchair |
13 |
12 |
$175.87 |
| E1226 |
Manual fully reclining back |
40 |
37 |
$126.99 |
| E0910 |
Trapeze bar attached to bed |
44 |
38 |
$110.17 |
| A4628 |
Oropharyngeal suction cath |
18 |
16 |
$107.52 |
| A7000 |
Disposable canister for pump |
17 |
15 |
$79.27 |
| A7002 |
Tubing used w suction pump |
16 |
14 |
$43.14 |