| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
97,584 |
87,024 |
$4.01M |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
15,790 |
14,267 |
$978K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
18,630 |
16,470 |
$522K |
| K0822 |
Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
9,731 |
8,595 |
$360K |
| E2375 |
Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only |
1,987 |
1,725 |
$198K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
33,015 |
29,118 |
$190K |
| E2359 |
Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
2,976 |
2,660 |
$165K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
3,743 |
2,807 |
$159K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
10,948 |
9,477 |
$107K |
| E2370 |
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
854 |
528 |
$103K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
3,029 |
2,688 |
$95K |
| K0824 |
Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
1,263 |
1,092 |
$81K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
4,304 |
2,563 |
$81K |
| E2381 |
Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each |
3,740 |
3,305 |
$71K |
| K0015 |
Detachable, non-adjustable height armrest, replacement only, each |
1,828 |
1,087 |
$46K |
| K0800 |
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
239 |
230 |
$42K |
| E2391 |
Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each |
4,272 |
3,746 |
$38K |
| E1020 |
Residual limb support system for wheelchair, any type |
4,938 |
3,784 |
$36K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
4,402 |
3,802 |
$33K |
| K0827 |
Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds |
352 |
312 |
$32K |
| E2208 |
Wheelchair accessory, cylinder tank carrier, each |
1,307 |
1,172 |
$31K |
| E1226 |
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
220 |
184 |
$20K |
| E2382 |
Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each |
1,779 |
1,565 |
$12K |
| E2395 |
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
415 |
378 |
$9K |
| E2374 |
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
134 |
115 |
$9K |
| E2390 |
Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each |
504 |
460 |
$8K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
228 |
200 |
$6K |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
306 |
263 |
$6K |
| K0040 |
Adjustable angle footplate, each |
377 |
314 |
$5K |
| E2363 |
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
15 |
14 |
$785.66 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
37 |
28 |
$741.62 |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
13 |
12 |
$463.40 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
14 |
12 |
$100.97 |