| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
918 |
354 |
$114K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,612 |
1,325 |
$84K |
| K0001 |
Standard wheelchair |
1,414 |
1,239 |
$78K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,128 |
668 |
$53K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,010 |
870 |
$50K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
400 |
353 |
$47K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,112 |
876 |
$28K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
318 |
251 |
$18K |
| E0184 |
Dry pressure mattress |
458 |
388 |
$14K |
| E0156 |
Seat attachment, walker |
1,049 |
922 |
$13K |
| A4670 |
Automatic blood pressure monitor |
199 |
186 |
$9K |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
26 |
24 |
$6K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
144 |
108 |
$6K |
| E0570 |
Nebulizer, with compressor |
90 |
87 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
379 |
328 |
$3K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
19 |
15 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
16 |
16 |
$2K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
13 |
13 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
43 |
26 |
$950.82 |
| K0040 |
Adjustable angle footplate, each |
16 |
12 |
$733.71 |