| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0001 |
Standard wheelchair |
540 |
540 |
$4K |
| K0002 |
Standard hemi (low seat) wheelchair |
335 |
332 |
$3K |
| K0003 |
Lightweight wheelchair |
189 |
189 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
104 |
104 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
73 |
72 |
$991.93 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
40 |
40 |
$494.56 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
35 |
35 |
$386.11 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
29 |
29 |
$218.06 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
80 |
80 |
$160.54 |