| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
2,675 |
1,604 |
$1.03M |
| E1399 |
Durable medical equipment, miscellaneous |
625 |
446 |
$707K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
489 |
336 |
$81K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
2,653 |
2,185 |
$78K |
| E2294 |
Seat, contoured, for pediatric size wheelchair including fixed attaching hardware |
124 |
116 |
$44K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
170 |
149 |
$21K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
367 |
330 |
$14K |
| E0950 |
Wheelchair accessory, tray, each |
60 |
51 |
$9K |
| E2293 |
Back, contoured, for pediatric size wheelchair including fixed attaching hardware |
13 |
12 |
$7K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
51 |
41 |
$6K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
98 |
84 |
$5K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
53 |
50 |
$4K |
| K0040 |
Adjustable angle footplate, each |
51 |
40 |
$4K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
39 |
34 |
$2K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
14 |
14 |
$547.38 |