| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
329 |
329 |
$12K |
| K0001 |
Standard wheelchair |
148 |
147 |
$8K |
| K0003 |
Lightweight wheelchair |
111 |
111 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
47 |
46 |
$2K |
| E0305 |
Bed side rails, half length |
174 |
174 |
$1K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
12 |
12 |
$1K |
| E0245 |
Tub stool or bench |
18 |
17 |
$991.26 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
77 |
75 |
$373.10 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
12 |
12 |
$368.23 |
| E0156 |
Seat attachment, walker |
27 |
26 |
$330.39 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
12 |
12 |
$260.50 |