| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
1,815 |
655 |
$640K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,992 |
1,478 |
$100K |
| K0004 |
High strength, lightweight wheelchair |
122 |
97 |
$6K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
60 |
49 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
65 |
64 |
$5K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
104 |
99 |
$4K |