| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0822 |
Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
49 |
46 |
$167K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
264 |
184 |
$124K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
124 |
110 |
$33K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
98 |
80 |
$13K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
73 |
62 |
$13K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
47 |
32 |
$9K |
| E0940 |
Trapeze bar, free standing, complete with grab bar |
20 |
16 |
$3K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
63 |
46 |
$3K |