| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4353 |
Intermittent urinary catheter, with insertion supplies |
348 |
306 |
$300K |
| K0003 |
Lightweight wheelchair |
6,970 |
6,057 |
$190K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
657 |
621 |
$104K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
3,133 |
2,714 |
$93K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
612 |
482 |
$43K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
856 |
738 |
$20K |
| K0001 |
Standard wheelchair |
915 |
800 |
$19K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,686 |
2,323 |
$16K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
866 |
401 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
173 |
121 |
$13K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
750 |
587 |
$10K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,017 |
473 |
$8K |
| K0006 |
Heavy duty wheelchair |
226 |
180 |
$5K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
388 |
362 |
$5K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
189 |
147 |
$3K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
399 |
306 |
$3K |
| E0184 |
Dry pressure mattress |
42 |
27 |
$3K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
719 |
345 |
$3K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
335 |
312 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
38 |
37 |
$464.98 |