| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1223 |
Wheelchair with detachable arms, footrests |
6,655 |
5,059 |
$204K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
9,745 |
7,003 |
$187K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,169 |
858 |
$47K |
| K0003 |
Lightweight wheelchair |
4,907 |
3,861 |
$37K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,141 |
1,580 |
$35K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
1,319 |
843 |
$26K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
3,555 |
1,316 |
$26K |
| K0001 |
Standard wheelchair |
6,179 |
5,059 |
$22K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,867 |
1,391 |
$21K |
| E0570 |
Nebulizer, with compressor |
2,306 |
1,727 |
$14K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
571 |
390 |
$12K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
2,099 |
1,580 |
$12K |
| E0245 |
Tub stool or bench |
519 |
447 |
$11K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
1,415 |
974 |
$11K |
| K0007 |
Extra heavy duty wheelchair |
396 |
336 |
$11K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
2,201 |
823 |
$8K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
390 |
283 |
$4K |
| E0156 |
Seat attachment, walker |
966 |
735 |
$4K |
| E1240 |
Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest |
415 |
328 |
$3K |
| E1280 |
Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests |
14 |
13 |
$2K |
| E1031 |
Rollabout chair, any and all types with casters 5" or greater |
137 |
122 |
$1K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
754 |
561 |
$1K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
218 |
186 |
$1K |
| E0627 |
Seat lift mechanism, electric, any type |
18 |
14 |
$452.90 |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
63 |
41 |
$383.75 |
| A4670 |
Automatic blood pressure monitor |
14 |
14 |
$367.45 |
| K0006 |
Heavy duty wheelchair |
212 |
133 |
$267.85 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
112 |
86 |
$139.28 |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
14 |
12 |
$130.24 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
34 |
26 |
$99.18 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
87 |
64 |
$43.02 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
16 |
12 |
$11.47 |
| E0240 |
Bath/shower chair, with or without wheels, any size |
32 |
15 |
$0.00 |