| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
1,520 |
1,417 |
$53K |
| E1399 |
Durable medical equipment, miscellaneous |
396 |
276 |
$28K |
| E0147 |
Walker, heavy duty, multiple braking system, variable wheel resistance |
140 |
133 |
$14K |
| S5165 |
Home modifications; per service |
22 |
22 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
513 |
484 |
$7K |
| E0277 |
Powered pressure-reducing air mattress |
167 |
135 |
$7K |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
90 |
90 |
$4K |
| K0004 |
High strength, lightweight wheelchair |
127 |
123 |
$3K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
46 |
45 |
$2K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
353 |
349 |
$2K |
| K0003 |
Lightweight wheelchair |
150 |
140 |
$2K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
33 |
33 |
$730.40 |
| E0156 |
Seat attachment, walker |
145 |
141 |
$720.00 |