| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
194 |
185 |
$8K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
169 |
162 |
$6K |
| K0002 |
Standard hemi (low seat) wheelchair |
581 |
551 |
$4K |
| K0003 |
Lightweight wheelchair |
496 |
465 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
121 |
117 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
62 |
61 |
$952.04 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
489 |
451 |
$759.25 |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
29 |
25 |
$636.93 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
114 |
107 |
$181.17 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
31 |
25 |
$154.25 |