| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
171 |
117 |
$25K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
390 |
348 |
$21K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
540 |
499 |
$16K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
266 |
169 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,124 |
1,053 |
$7K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
125 |
69 |
$5K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
123 |
101 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
41 |
37 |
$1K |
| K0001 |
Standard wheelchair |
179 |
167 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
36 |
26 |
$674.05 |