| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,913 |
1,890 |
$71K |
| E1240 |
Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest |
600 |
510 |
$22K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
143 |
61 |
$16K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
806 |
368 |
$11K |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
2,086 |
1,032 |
$7K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
2,648 |
2,097 |
$5K |
| E1150 |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
155 |
127 |
$4K |
| E1060 |
Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests |
289 |
267 |
$4K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
242 |
78 |
$3K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
215 |
67 |
$2K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
70 |
40 |
$2K |
| K0003 |
Lightweight wheelchair |
929 |
656 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
98 |
51 |
$960.30 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,195 |
2,330 |
$931.78 |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
70 |
58 |
$457.32 |
| E0277 |
Powered pressure-reducing air mattress |
22 |
12 |
$448.49 |
| K0001 |
Standard wheelchair |
691 |
566 |
$363.61 |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
22 |
16 |
$55.13 |