| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2228 |
Mwc acc, wheelchair brake |
660 |
317 |
$4K |
| E0260 |
Hosp bed semi-electr w/ matt |
572 |
521 |
$3K |
| K0001 |
Standard wheelchair |
1,089 |
931 |
$2K |
| E0143 |
Walker folding wheeled w/o s |
266 |
254 |
$2K |
| K0195 |
Elevating whlchair leg rests |
668 |
562 |
$837.99 |
| E2611 |
Gen use back cush wdth <22in |
15 |
15 |
$747.69 |
| E0141 |
Rigid wheeled walker adj/fix |
34 |
31 |
$630.26 |
| E0140 |
Walker w trunk support |
335 |
306 |
$623.66 |
| E0630 |
Patient lift hydraulic |
110 |
102 |
$451.44 |
| E0988 |
Lever-activated wheel drive |
99 |
99 |
$430.80 |
| E0973 |
W/ch access det adj armrest |
34 |
17 |
$385.24 |
| E0163 |
Commode chair with fixed arm |
18 |
16 |
$264.30 |
| E0156 |
Walker seat attachment |
29 |
29 |
$256.56 |
| E0971 |
Wheelchair anti-tipping devi |
34 |
17 |
$236.20 |
| E2601 |
Gen w/c cushion wdth < 22 in |
15 |
15 |
$179.07 |
| E0159 |
Brake for wheeled walker |
56 |
28 |
$72.15 |
| K0040 |
Adjustable angle footplate |
34 |
17 |
$51.98 |
| K0038 |
Leg strap each |
34 |
17 |
$0.00 |
| E2627 |
Arm supp att to wc rancho ty |
34 |
17 |
$0.00 |
| E0974 |
W/ch access anti-rollback |
34 |
17 |
$0.00 |
| E2631 |
Elevat proximal arm support |
34 |
17 |
$0.00 |
| K0065 |
Spoke protectors |
34 |
17 |
$0.00 |