| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
894 |
817 |
$446K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
795 |
691 |
$39K |
| K0816 |
Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds |
141 |
120 |
$25K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
789 |
689 |
$16K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
282 |
280 |
$9K |
| K0003 |
Lightweight wheelchair |
314 |
259 |
$8K |
| T4541 |
Incontinence product, disposable underpad, large, each |
119 |
116 |
$4K |
| E0570 |
Nebulizer, with compressor |
114 |
105 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
204 |
198 |
$3K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
125 |
64 |
$975.81 |
| A4670 |
Automatic blood pressure monitor |
26 |
24 |
$914.15 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
39 |
36 |
$855.49 |
| K0001 |
Standard wheelchair |
39 |
36 |
$840.51 |
| E0156 |
Seat attachment, walker |
39 |
37 |
$270.82 |
| E0627 |
Seat lift mechanism, electric, any type |
12 |
12 |
$0.00 |