| 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 |
276 |
264 |
$75K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
177 |
132 |
$50K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
69 |
69 |
$32K |
| E2605 |
Positioning wheelchair seat cushion, width less than 22 inches, any depth |
58 |
58 |
$14K |
| E2395 |
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
39 |
39 |
$8K |
| E2387 |
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each |
27 |
27 |
$6K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
25 |
24 |
$6K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
13 |
13 |
$4K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
12 |
12 |
$3K |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
13 |
13 |
$2K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
13 |
13 |
$2K |