| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
276 |
65 |
$108K |
| E1399 |
Durable medical equipment, miscellaneous |
102 |
88 |
$97K |
| K0004 |
High strength, lightweight wheelchair |
2,510 |
2,442 |
$94K |
| E0147 |
Walker, heavy duty, multiple braking system, variable wheel resistance |
622 |
613 |
$84K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
437 |
375 |
$35K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
299 |
295 |
$33K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
579 |
574 |
$23K |
| K0001 |
Standard wheelchair |
467 |
460 |
$16K |
| K0040 |
Adjustable angle footplate, each |
1,999 |
1,917 |
$12K |
| E2363 |
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
84 |
82 |
$11K |
| K0806 |
Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds |
16 |
16 |
$9K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
15 |
15 |
$8K |
| E1031 |
Rollabout chair, any and all types with casters 5" or greater |
399 |
395 |
$7K |
| E0310 |
Bed side rails, full length |
505 |
482 |
$6K |
| E0156 |
Seat attachment, walker |
834 |
823 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
537 |
522 |
$4K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
42 |
42 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
131 |
130 |
$2K |
| E0271 |
Mattress, innerspring |
25 |
25 |
$306.00 |