| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0143 |
Walker folding wheeled w/o s |
6,906 |
6,459 |
$378K |
| K0001 |
Standard wheelchair |
12,522 |
11,591 |
$255K |
| K0195 |
Elevating whlchair leg rests |
7,417 |
6,832 |
$177K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,007 |
930 |
$176K |
| K0006 |
Heavy duty wheelchair |
3,879 |
3,530 |
$154K |
| L3670 |
So acro/clav can web pre ots |
2,013 |
1,881 |
$119K |
| E0163 |
Commode chair with fixed arm |
3,408 |
3,154 |
$103K |
| L3809 |
Whfo w/o joints pre ots |
661 |
607 |
$101K |
| E1236 |
Folding ped wc adjustable |
913 |
867 |
$94K |
| E0114 |
Crutch underarm pair no wood |
3,148 |
3,017 |
$87K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
271 |
244 |
$25K |
| L1830 |
Ko immob canvas long pre ots |
482 |
452 |
$22K |
| L3908 |
Who cock-up nonmolde pre ots |
720 |
621 |
$21K |
| A4670 |
Automatic bp monitor, dial |
355 |
346 |
$18K |
| E0165 |
Commode chair with detacharm |
1,304 |
1,193 |
$13K |
| E0570 |
Nebulizer with compression |
643 |
573 |
$7K |
| E0149 |
Heavy duty wheeled walker |
821 |
737 |
$6K |
| E0971 |
Wheelchair anti-tipping devi |
128 |
112 |
$5K |
| E2601 |
Gen w/c cushion wdth < 22 in |
38 |
37 |
$1K |
| E0156 |
Walker seat attachment |
113 |
111 |
$1K |
| E0248 |
Hdtrans bench w/wo comm open |
13 |
13 |
$550.00 |
| L3660 |
So 8 ab rstr can/web pre ots |
26 |
23 |
$437.20 |