| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
3,605 |
2,971 |
$292K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
4,063 |
2,448 |
$74K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
342 |
310 |
$57K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
125 |
85 |
$16K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
866 |
542 |
$15K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
284 |
202 |
$4K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
175 |
131 |
$3K |
| E2397 |
Power wheelchair accessory, lithium-based battery, each |
48 |
38 |
$2K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
38 |
26 |
$1K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
20 |
17 |
$250.65 |