| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,324 |
3,273 |
$106K |
| K0001 |
Standard wheelchair |
8,505 |
8,423 |
$101K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
386 |
378 |
$32K |
| A4670 |
Automatic blood pressure monitor |
468 |
462 |
$24K |
| E0245 |
Tub stool or bench |
559 |
555 |
$22K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
809 |
785 |
$21K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
568 |
558 |
$14K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
532 |
522 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
107 |
106 |
$8K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
402 |
391 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,964 |
2,933 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
195 |
192 |
$5K |
| K0004 |
High strength, lightweight wheelchair |
69 |
69 |
$5K |
| T4541 |
Incontinence product, disposable underpad, large, each |
156 |
154 |
$5K |
| E0935 |
Continuous passive motion exercise device for use on knee only |
123 |
12 |
$3K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
92 |
91 |
$2K |
| E0156 |
Seat attachment, walker |
254 |
251 |
$2K |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
151 |
149 |
$2K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
12 |
12 |
$1K |
| K0003 |
Lightweight wheelchair |
29 |
29 |
$1K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
14 |
13 |
$1K |
| K0007 |
Extra heavy duty wheelchair |
36 |
36 |
$1K |
| E0570 |
Nebulizer, with compressor |
14 |
13 |
$724.36 |