| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0003 |
Lightweight wheelchair |
253 |
242 |
$0.00 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,991 |
3,946 |
$0.00 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
860 |
847 |
$0.00 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,112 |
1,089 |
$0.00 |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
105 |
104 |
$0.00 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
17 |
17 |
$0.00 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
42 |
42 |
$0.00 |
| K0001 |
Standard wheelchair |
5,397 |
5,324 |
$0.00 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
304 |
304 |
$0.00 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
198 |
190 |
$0.00 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
146 |
135 |
$0.00 |