| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
4,091 |
3,791 |
$126K |
| K0003 |
Lightweight wheelchair |
2,748 |
2,211 |
$70K |
| E2611 |
Gen use back cush wdth <22in |
313 |
302 |
$52K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,519 |
1,178 |
$44K |
| E0990 |
Wheelchair elevating leg res |
1,239 |
1,210 |
$41K |
| E0143 |
Walker folding wheeled w/o s |
775 |
763 |
$38K |
| E0163 |
Commode chair with fixed arm |
619 |
598 |
$34K |
| E0973 |
W/ch access det adj armrest |
226 |
206 |
$25K |
| E0971 |
Wheelchair anti-tipping devi |
665 |
522 |
$23K |
| E2601 |
Gen w/c cushion wdth < 22 in |
404 |
392 |
$13K |
| E0261 |
Hosp bed semi-electr w/o mat |
312 |
256 |
$9K |
| E0630 |
Patient lift hydraulic |
402 |
268 |
$5K |
| K0195 |
Elevating whlchair leg rests |
1,026 |
658 |
$1K |
| E0978 |
W/c acc,saf belt pelv strap |
14 |
14 |
$298.83 |