| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Pwr seat combo w/shear |
158 |
154 |
$200K |
| K0823 |
Pwc gp 2 std cap chair |
579 |
575 |
$35K |
| E0373 |
Nonpowered pressure mattress |
297 |
292 |
$32K |
| E2311 |
Electro connect btw 2 sys |
170 |
166 |
$25K |
| E1012 |
Ctr mount pwr elev leg rest |
89 |
88 |
$23K |
| E0277 |
Powered pres-redu air mattrs |
466 |
464 |
$19K |
| K0821 |
Pwc gp 2 std port cap chair |
312 |
311 |
$17K |
| E1028 |
W/c manual swingaway |
638 |
589 |
$16K |
| E2361 |
22nf sealed leadacid battery |
221 |
213 |
$13K |
| E0955 |
Cushioned headrest |
269 |
260 |
$7K |
| E0261 |
Hosp bed semi-electr w/o mat |
224 |
223 |
$6K |
| E2313 |
Pwc harness, expand control |
100 |
97 |
$6K |
| E2377 |
Expandable controller, initl |
97 |
94 |
$3K |