| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
536 |
420 |
$273K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
384 |
373 |
$18K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
26 |
25 |
$5K |
| K0040 |
Adjustable angle footplate, each |
19 |
19 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
17 |
16 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
13 |
13 |
$995.88 |