| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,178 |
1,083 |
$55K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
113 |
100 |
$27K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
555 |
495 |
$26K |
| K0800 |
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
15 |
14 |
$9K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
199 |
197 |
$8K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
393 |
387 |
$6K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
41 |
41 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
69 |
63 |
$1K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
12 |
12 |
$1K |
| K0040 |
Adjustable angle footplate, each |
13 |
13 |
$663.19 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
42 |
42 |
$492.47 |