| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
2,039 |
2,038 |
$36K |
| K0001 |
Standard wheelchair |
2,802 |
2,791 |
$20K |
| K0002 |
Standard hemi (low seat) wheelchair |
732 |
732 |
$9K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
413 |
413 |
$7K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
38 |
38 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
517 |
517 |
$1K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
246 |
246 |
$936.49 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
31 |
31 |
$540.89 |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
12 |
12 |
$318.88 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
25 |
25 |
$213.53 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
15 |
15 |
$87.99 |
| E0156 |
Seat attachment, walker |
13 |
13 |
$44.92 |