| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
4,091 |
3,791 |
$126K |
| K0003 |
Lightweight wheelchair |
2,748 |
2,211 |
$70K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
313 |
302 |
$52K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,519 |
1,178 |
$44K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
1,239 |
1,210 |
$41K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
775 |
763 |
$38K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
619 |
598 |
$34K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
226 |
206 |
$25K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
665 |
522 |
$23K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
404 |
392 |
$13K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
312 |
256 |
$9K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
402 |
268 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,026 |
658 |
$1K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
14 |
14 |
$298.83 |