| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
864 |
467 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
327 |
182 |
$2K |
| E0141 |
Walker, rigid, wheeled, adjustable or fixed height |
108 |
67 |
$949.16 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
89 |
54 |
$414.80 |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
91 |
51 |
$380.50 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
872 |
475 |
$261.06 |
| E0570 |
Nebulizer, with compressor |
222 |
124 |
$255.93 |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
178 |
51 |
$173.76 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
179 |
51 |
$112.56 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
87 |
49 |
$71.90 |
| E0156 |
Seat attachment, walker |
42 |
28 |
$3.14 |