| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9900 |
Supply/accessory/service |
629 |
598 |
$378K |
| E1399 |
Durable medical equipment mi |
10,003 |
6,808 |
$237K |
| K0739 |
Repair/svc dme non-oxygen eq |
2,078 |
1,798 |
$164K |
| E0265 |
Hosp bed total electr w/ mat |
4,155 |
3,921 |
$147K |
| S5165 |
Home modifications per serv |
82 |
60 |
$90K |
| E0241 |
Bath tub wall rail |
3,362 |
3,217 |
$58K |
| E0240 |
Bath/shower chair |
2,936 |
2,716 |
$57K |
| E0244 |
Toilet seat raised |
2,354 |
2,286 |
$56K |
| E0627 |
Seat lift mech, electric any |
741 |
611 |
$49K |
| E0143 |
Walker folding wheeled w/o s |
2,971 |
2,921 |
$46K |
| E0315 |
Bed accessory brd/tbl/supprt |
1,174 |
1,126 |
$43K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,827 |
1,784 |
$28K |
| E1038 |
Transport chair pt wt<=300lb |
629 |
627 |
$27K |
| E0163 |
Commode chair with fixed arm |
1,386 |
1,358 |
$21K |
| K0001 |
Standard wheelchair |
2,906 |
2,758 |
$19K |
| E0245 |
Tub stool or bench |
958 |
949 |
$18K |
| E0242 |
Bath tub rail floor |
691 |
665 |
$18K |
| K0007 |
Extra heavy duty wheelchair |
717 |
680 |
$16K |
| E0247 |
Trans bench w/wo comm open |
487 |
450 |
$14K |
| E0305 |
Rails bed side half length |
603 |
588 |
$13K |
| E0156 |
Walker seat attachment |
2,437 |
2,400 |
$12K |
| E0100 |
Cane adjust/fixed with tip |
1,585 |
1,547 |
$12K |
| G9001 |
Mccd, initial rate |
164 |
163 |
$11K |
| E0630 |
Patient lift hydraulic |
582 |
557 |
$10K |
| E0266 |
Hosp bed total elec w/o matt |
345 |
315 |
$9K |
| E0105 |
Cane adjust/fixed quad/3 pro |
538 |
533 |
$8K |
| A4670 |
Automatic bp monitor, dial |
161 |
161 |
$8K |
| E0190 |
Positioning cushion |
670 |
582 |
$7K |
| K0195 |
Elevating whlchair leg rests |
1,560 |
1,456 |
$5K |
| A9281 |
Reaching/grabbing device |
710 |
693 |
$4K |
| A9901 |
Delivery/set up/dispensing |
1,914 |
1,572 |
$2K |
| E0243 |
Toilet rail |
151 |
147 |
$2K |
| E0185 |
Gel pressure mattress pad |
27 |
27 |
$2K |
| 96160 |
|
39 |
38 |
$1K |
| G9002 |
Mccd,maintenance rate |
163 |
162 |
$729.00 |
| E0215 |
Electric heat pad moist |
40 |
40 |
$508.44 |
| E0147 |
Walker variable wheel resist |
12 |
12 |
$392.88 |
| E0184 |
Dry pressure mattress |
14 |
14 |
$321.69 |
| E2601 |
Gen w/c cushion wdth < 22 in |
28 |
28 |
$254.22 |
| E0700 |
Safety equipment |
16 |
12 |
$84.61 |