| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
6,906 |
6,459 |
$378K |
| K0001 |
Standard wheelchair |
12,522 |
11,591 |
$255K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
7,417 |
6,832 |
$177K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,007 |
930 |
$176K |
| K0006 |
Heavy duty wheelchair |
3,879 |
3,530 |
$154K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
2,013 |
1,881 |
$119K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
3,408 |
3,154 |
$103K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
661 |
607 |
$101K |
| E1236 |
Wheelchair, pediatric size, folding, adjustable, with seating system |
913 |
867 |
$94K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
3,148 |
3,017 |
$87K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
271 |
244 |
$25K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
482 |
452 |
$22K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
720 |
621 |
$21K |
| A4670 |
Automatic blood pressure monitor |
355 |
346 |
$18K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
1,304 |
1,193 |
$13K |
| E0570 |
Nebulizer, with compressor |
643 |
573 |
$7K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
821 |
737 |
$6K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
128 |
112 |
$5K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
38 |
37 |
$1K |
| E0156 |
Seat attachment, walker |
113 |
111 |
$1K |
| E0248 |
Transfer bench, heavy duty, for tub or toilet with or without commode opening |
13 |
13 |
$550.00 |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
26 |
23 |
$437.20 |