| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
946 |
535 |
$193K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
458 |
269 |
$50K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
158 |
113 |
$18K |
| K0040 |
Adjustable angle footplate, each |
197 |
145 |
$16K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
325 |
265 |
$15K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
115 |
93 |
$14K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
145 |
114 |
$11K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
111 |
83 |
$8K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
30 |
26 |
$6K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
22 |
12 |
$3K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
57 |
44 |
$2K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
14 |
13 |
$539.11 |