| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0003 |
Lightweight wheelchair |
253 |
242 |
$0.00 |
| K0195 |
Elevating whlchair leg rests |
3,991 |
3,946 |
$0.00 |
| E0261 |
Hosp bed semi-electr w/o mat |
860 |
847 |
$0.00 |
| E0260 |
Hosp bed semi-electr w/ matt |
1,112 |
1,089 |
$0.00 |
| E0165 |
Commode chair with detacharm |
105 |
104 |
$0.00 |
| E0163 |
Commode chair with fixed arm |
17 |
17 |
$0.00 |
| E2601 |
Gen w/c cushion wdth < 22 in |
42 |
42 |
$0.00 |
| K0001 |
Standard wheelchair |
5,397 |
5,324 |
$0.00 |
| E1038 |
Transport chair pt wt<=300lb |
304 |
304 |
$0.00 |
| E0143 |
Walker folding wheeled w/o s |
198 |
190 |
$0.00 |
| E0630 |
Patient lift hydraulic |
146 |
135 |
$0.00 |