| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2510 |
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access |
178 |
177 |
$779K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
683 |
661 |
$325K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
3,367 |
3,183 |
$196K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
495 |
490 |
$121K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
910 |
681 |
$104K |
| K0005 |
Ultralightweight wheelchair |
88 |
88 |
$86K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,182 |
952 |
$71K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
17 |
17 |
$52K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
371 |
371 |
$49K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
817 |
811 |
$47K |
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
13 |
13 |
$39K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
448 |
385 |
$35K |
| 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 |
53 |
53 |
$32K |
| K0040 |
Adjustable angle footplate, each |
498 |
453 |
$30K |
| E2392 |
Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
276 |
255 |
$22K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
189 |
159 |
$21K |
| E1399 |
Durable medical equipment, miscellaneous |
14 |
13 |
$20K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
131 |
129 |
$18K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
373 |
335 |
$17K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
39 |
39 |
$14K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
133 |
123 |
$14K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
15 |
14 |
$14K |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
171 |
160 |
$12K |
| E2622 |
Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth |
50 |
50 |
$11K |
| E2374 |
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
39 |
39 |
$9K |
| E2613 |
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware |
29 |
29 |
$7K |
| E2370 |
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
17 |
14 |
$6K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
40 |
40 |
$6K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
42 |
42 |
$5K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
79 |
79 |
$5K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
251 |
249 |
$5K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
157 |
128 |
$5K |
| E2359 |
Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
34 |
34 |
$4K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
16 |
16 |
$4K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
17 |
17 |
$3K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
143 |
129 |
$3K |
| K0019 |
Arm pad, replacement only, each |
142 |
141 |
$2K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
17 |
17 |
$360.90 |