Here are the top-10 ranked countries based on Paralympic medals won in 2004. As per tradition, the ranking order is based first on the number of gold medals, then silver and bronze.

In 2004, the leading country on the medal table was China.

rank Country Gold Silver Bronze total
1 China 63 46 32 141
2 Great Britain 35 30 29 94
3 Canada 28 19 25 72
4 United States 27 22 39 88
5 Australia 26 39 36 101
6 Ukraine 24 12 19 55
7 Spain 20 27 24 71
8 Germany 19 28 31 78
9 France 18 26 30 74
10 Japan 17 15 20 52