| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
177 |
175 |
$436K |
| K0001 |
Standard wheelchair |
37,912 |
37,792 |
$257K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
16,625 |
16,585 |
$230K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
477 |
404 |
$188K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
8,616 |
8,502 |
$182K |
| E2311 |
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
239 |
235 |
$165K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
2,714 |
2,688 |
$112K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
3,550 |
2,886 |
$85K |
| E0245 |
Tub stool or bench |
1,764 |
1,754 |
$83K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
978 |
976 |
$72K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,315 |
880 |
$70K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
207 |
206 |
$61K |
| K0003 |
Lightweight wheelchair |
2,437 |
2,429 |
$59K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
88 |
85 |
$49K |
| E2363 |
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
373 |
368 |
$47K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
3,704 |
3,079 |
$45K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
784 |
721 |
$45K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
515 |
513 |
$42K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,675 |
2,663 |
$41K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
7,465 |
7,414 |
$37K |
| E0305 |
Bed side rails, half length |
16,340 |
16,287 |
$33K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
230 |
225 |
$33K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
1,893 |
1,869 |
$32K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
72 |
70 |
$30K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,279 |
3,275 |
$30K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
2,618 |
2,595 |
$25K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
254 |
246 |
$22K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
4,585 |
4,577 |
$21K |
| E0635 |
Patient lift, electric with seat or sling |
460 |
459 |
$18K |
| E0156 |
Seat attachment, walker |
3,558 |
3,531 |
$17K |
| E0271 |
Mattress, innerspring |
501 |
501 |
$17K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
1,427 |
1,417 |
$12K |
| E1225 |
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each |
770 |
758 |
$11K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
1,632 |
1,627 |
$11K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
326 |
321 |
$9K |
| E0272 |
Mattress, foam rubber |
209 |
208 |
$9K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
129 |
125 |
$8K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
119 |
118 |
$7K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
1,469 |
1,455 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
53 |
53 |
$4K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
376 |
372 |
$3K |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
90 |
90 |
$3K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
27 |
25 |
$3K |
| E2387 |
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each |
119 |
79 |
$3K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
210 |
204 |
$3K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
12 |
12 |
$2K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
222 |
222 |
$1K |
| 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 |
12 |
12 |
$912.04 |
| K0040 |
Adjustable angle footplate, each |
16 |
14 |
$894.32 |
| K0462 |
Temporary replacement for patient owned equipment being repaired, any type |
12 |
12 |
$862.54 |
| E2395 |
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
16 |
16 |
$587.44 |
| K0019 |
Arm pad, replacement only, each |
72 |
71 |
$471.38 |
| K0006 |
Heavy duty wheelchair |
12 |
12 |
$166.52 |