| Code | Description | Claims | Beneficiaries | Total Paid |
| K0003 |
Lightweight wheelchair |
1,571 |
1,372 |
$27K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
717 |
627 |
$10K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
44 |
25 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
42 |
37 |
$930.96 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
44 |
24 |
$764.08 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
49 |
28 |
$311.00 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
12 |
12 |
$24.32 |