| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
8,930 |
3,150 |
$2.05M |
| E0240 |
Bath/shower chair, with or without wheels, any size |
194 |
191 |
$406K |
| E1399 |
Durable medical equipment, miscellaneous |
168 |
136 |
$306K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
2,391 |
2,295 |
$193K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
718 |
542 |
$172K |
| E2617 |
Custom fabricated wheelchair back cushion, any size, including any type mounting hardware |
124 |
124 |
$138K |
| K0040 |
Adjustable angle footplate, each |
719 |
526 |
$82K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
586 |
477 |
$81K |
| E2609 |
Custom fabricated wheelchair seat cushion, any size |
86 |
85 |
$76K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
274 |
160 |
$60K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
436 |
285 |
$34K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
396 |
295 |
$29K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
136 |
127 |
$17K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
122 |
122 |
$7K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
226 |
215 |
$6K |
| E2219 |
Manual wheelchair accessory, foam caster tire, any size, each |
14 |
13 |
$908.08 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
22 |
13 |
$647.29 |