| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Special med equip, noswaiver |
894 |
817 |
$446K |
| E0260 |
Hosp bed semi-electr w/ matt |
795 |
691 |
$39K |
| K0816 |
Pwc gp 1 std cap chair |
141 |
120 |
$25K |
| E1028 |
W/c manual swingaway |
789 |
689 |
$16K |
| E0730 |
Tens four lead |
282 |
280 |
$9K |
| K0003 |
Lightweight wheelchair |
314 |
259 |
$8K |
| T4541 |
Large disposable underpad |
119 |
116 |
$4K |
| E0570 |
Nebulizer with compression |
114 |
105 |
$3K |
| A4927 |
Non-sterile gloves |
204 |
198 |
$3K |
| E0971 |
Wheelchair anti-tipping devi |
125 |
64 |
$975.81 |
| A4670 |
Automatic bp monitor, dial |
26 |
24 |
$914.15 |
| E0143 |
Walker folding wheeled w/o s |
39 |
36 |
$855.49 |
| K0001 |
Standard wheelchair |
39 |
36 |
$840.51 |
| E0156 |
Walker seat attachment |
39 |
37 |
$270.82 |
| E0627 |
Seat lift mech, electric any |
12 |
12 |
$0.00 |