| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0240 |
Bath/shower chair |
1,199 |
1,044 |
$277K |
| E0147 |
Walker variable wheel resist |
368 |
331 |
$123K |
| K0003 |
Lightweight wheelchair |
2,470 |
1,796 |
$96K |
| K0195 |
Elevating whlchair leg rests |
1,143 |
921 |
$44K |
| E0261 |
Hosp bed semi-electr w/o mat |
1,703 |
1,043 |
$37K |
| A4670 |
Automatic bp monitor, dial |
687 |
659 |
$32K |
| L7366 |
Battery chrgr 12 volt utah/e |
50 |
49 |
$27K |
| E0260 |
Hosp bed semi-electr w/ matt |
130 |
123 |
$23K |
| E0973 |
W/ch access det adj armrest |
327 |
234 |
$19K |
| E0630 |
Patient lift hydraulic |
197 |
161 |
$18K |
| E0143 |
Walker folding wheeled w/o s |
541 |
488 |
$16K |
| K0001 |
Standard wheelchair |
471 |
412 |
$11K |
| E0971 |
Wheelchair anti-tipping devi |
328 |
227 |
$10K |
| E0277 |
Powered pres-redu air mattrs |
121 |
104 |
$5K |
| E2201 |
Man w/ch acc seat w>=20"<24" |
32 |
25 |
$5K |
| E0247 |
Trans bench w/wo comm open |
47 |
40 |
$5K |
| E0181 |
Press pad alternating w/ pum |
150 |
124 |
$4K |
| E2601 |
Gen w/c cushion wdth < 22 in |
168 |
141 |
$4K |
| E0165 |
Commode chair with detacharm |
82 |
67 |
$4K |
| E0163 |
Commode chair with fixed arm |
85 |
78 |
$4K |
| E0156 |
Walker seat attachment |
239 |
215 |
$2K |
| E2203 |
Frame depth less than 22 in |
14 |
12 |
$2K |
| E0144 |
Enclosed walker w rear seat |
13 |
13 |
$2K |
| E0570 |
Nebulizer with compression |
69 |
52 |
$2K |
| E0246 |
Transfer tub rail attachment |
12 |
12 |
$720.72 |
| E0100 |
Cane adjust/fixed with tip |
12 |
12 |
$189.00 |