| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
2,412 |
1,430 |
$1.56M |
| E1399 |
Durable medical equipment, miscellaneous |
512 |
404 |
$1.32M |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,771 |
1,414 |
$107K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
4,769 |
1,746 |
$107K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
885 |
678 |
$44K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
1,709 |
1,357 |
$39K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
79 |
58 |
$5K |
| K0040 |
Adjustable angle footplate, each |
157 |
104 |
$5K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
75 |
55 |
$3K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
33 |
25 |
$3K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
31 |
26 |
$1K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
73 |
65 |
$1K |
| E0950 |
Wheelchair accessory, tray, each |
13 |
13 |
$770.47 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
19 |
13 |
$225.54 |