| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1399 |
Durable medical equipment, miscellaneous |
6,612 |
5,050 |
$545K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
603 |
603 |
$82K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,096 |
1,094 |
$38K |
| K0001 |
Standard wheelchair |
1,575 |
1,573 |
$34K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
131 |
131 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
67 |
67 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
347 |
347 |
$2K |
| E0245 |
Tub stool or bench |
24 |
24 |
$991.14 |