| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
121 |
105 |
$596K |
| E2311 |
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
133 |
115 |
$174K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
25 |
25 |
$130K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
463 |
158 |
$51K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
121 |
104 |
$37K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
47 |
39 |
$24K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
474 |
470 |
$15K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
81 |
67 |
$15K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
91 |
79 |
$10K |
| E2363 |
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
33 |
26 |
$6K |
| E1029 |
Wheelchair accessory, ventilator tray, fixed |
13 |
13 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
318 |
316 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
64 |
26 |
$1K |
| K0040 |
Adjustable angle footplate, each |
13 |
13 |
$515.84 |
| E0994 |
Arm rest, each |
31 |
25 |
$432.59 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
31 |
25 |
$284.97 |
| E0995 |
Wheelchair accessory, calf rest/pad, replacement only, each |
31 |
25 |
$112.80 |