| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
708 |
704 |
$25K |
| K0003 |
Lightweight wheelchair |
1,290 |
1,284 |
$15K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
294 |
294 |
$1K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
33 |
27 |
$1K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
25 |
25 |
$875.30 |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
53 |
24 |
$431.18 |
| K0001 |
Standard wheelchair |
78 |
75 |
$308.45 |
| E0570 |
Nebulizer, with compressor |
66 |
66 |
$107.78 |