| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
2,359 |
1,634 |
$34K |
| K0001 |
Standard wheelchair |
6,850 |
4,712 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
4,432 |
3,035 |
$22K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
1,847 |
1,182 |
$14K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,426 |
996 |
$7K |
| E0277 |
Powered pressure-reducing air mattress |
880 |
627 |
$5K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
708 |
448 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,796 |
1,925 |
$2K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
273 |
201 |
$2K |
| 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 |
111 |
73 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
264 |
181 |
$2K |
| K0003 |
Lightweight wheelchair |
427 |
295 |
$1K |
| K0004 |
High strength, lightweight wheelchair |
367 |
259 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
386 |
286 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
323 |
254 |
$905.12 |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
195 |
145 |
$651.73 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
255 |
186 |
$624.63 |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
328 |
151 |
$555.57 |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,158 |
598 |
$540.36 |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
118 |
90 |
$538.24 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
305 |
226 |
$511.26 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
130 |
97 |
$475.45 |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
51 |
39 |
$452.81 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
297 |
226 |
$449.91 |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
58 |
48 |
$343.39 |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
261 |
219 |
$285.70 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
191 |
162 |
$273.99 |
| E0570 |
Nebulizer, with compressor |
127 |
77 |
$230.05 |
| E0256 |
Hospital bed, variable height, hi-lo, with any type side rails, without mattress |
140 |
110 |
$149.86 |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
27 |
13 |
$117.87 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
139 |
108 |
$106.85 |
| E0156 |
Seat attachment, walker |
197 |
161 |
$102.79 |
| K0462 |
Temporary replacement for patient owned equipment being repaired, any type |
19 |
13 |
$76.88 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
461 |
283 |
$72.30 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
44 |
31 |
$52.95 |
| K0002 |
Standard hemi (low seat) wheelchair |
40 |
37 |
$21.30 |
| K0006 |
Heavy duty wheelchair |
16 |
12 |
$18.87 |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
53 |
38 |
$0.00 |