| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1240 |
Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest |
2,428 |
2,286 |
$271K |
| E1060 |
Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests |
962 |
914 |
$76K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
163 |
126 |
$45K |
| E1150 |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
48 |
47 |
$5K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
56 |
38 |
$4K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
78 |
72 |
$4K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
23 |
14 |
$4K |
| K0040 |
Adjustable angle footplate, each |
28 |
24 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
53 |
38 |
$2K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
53 |
37 |
$1K |