| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
3,053 |
1,713 |
$774K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,655 |
1,553 |
$134K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
451 |
362 |
$51K |
| K0040 |
Adjustable angle footplate, each |
73 |
50 |
$8K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
93 |
89 |
$4K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
37 |
37 |
$3K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
13 |
13 |
$2K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
12 |
12 |
$717.84 |