| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0002 |
Standard hemi (low seat) wheelchair |
875 |
686 |
$4K |
| K0003 |
Lightweight wheelchair |
769 |
656 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,380 |
1,140 |
$2K |
| K0001 |
Standard wheelchair |
669 |
559 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
226 |
190 |
$830.37 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
47 |
37 |
$147.30 |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
42 |
38 |
$8.73 |