| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
2,725 |
2,718 |
$67K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,213 |
1,200 |
$52K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
146 |
146 |
$25K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,590 |
1,585 |
$24K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
290 |
287 |
$14K |
| A4670 |
Automatic blood pressure monitor |
139 |
138 |
$6K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
45 |
45 |
$5K |
| E0570 |
Nebulizer, with compressor |
35 |
35 |
$3K |
| E0156 |
Seat attachment, walker |
164 |
163 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
28 |
28 |
$992.28 |
| A9270 |
Non-covered item or service |
21 |
15 |
$0.00 |