| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0240 |
Bath/shower chair, with or without wheels, any size |
1,199 |
1,044 |
$277K |
| E0147 |
Walker, heavy duty, multiple braking system, variable wheel resistance |
368 |
331 |
$123K |
| K0003 |
Lightweight wheelchair |
2,470 |
1,796 |
$96K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,143 |
921 |
$44K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,703 |
1,043 |
$37K |
| A4670 |
Automatic blood pressure monitor |
687 |
659 |
$32K |
| L7366 |
Battery charger, twelve volt, each |
50 |
49 |
$27K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
130 |
123 |
$23K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
327 |
234 |
$19K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
197 |
161 |
$18K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
541 |
488 |
$16K |
| K0001 |
Standard wheelchair |
471 |
412 |
$11K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
328 |
227 |
$10K |
| E0277 |
Powered pressure-reducing air mattress |
121 |
104 |
$5K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
32 |
25 |
$5K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
47 |
40 |
$5K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
150 |
124 |
$4K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
168 |
141 |
$4K |
| E0165 |
Commode chair, mobile or stationary, with detachable arms |
82 |
67 |
$4K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
85 |
78 |
$4K |
| E0156 |
Seat attachment, walker |
239 |
215 |
$2K |
| E2203 |
Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches |
14 |
12 |
$2K |
| E0144 |
Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat |
13 |
13 |
$2K |
| E0570 |
Nebulizer, with compressor |
69 |
52 |
$2K |
| E0246 |
Transfer tub rail attachment |
12 |
12 |
$720.72 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
12 |
12 |
$189.00 |