| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
1,582 |
1,142 |
$3.19M |
| E2311 |
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
1,884 |
1,363 |
$1.12M |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
511 |
349 |
$1.10M |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
1,658 |
1,175 |
$782K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
5,275 |
3,005 |
$392K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
1,116 |
870 |
$334K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
4,406 |
3,618 |
$326K |
| K0005 |
Ultralightweight wheelchair |
424 |
272 |
$297K |
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
2,055 |
1,721 |
$182K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
2,485 |
1,640 |
$173K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
1,622 |
1,172 |
$171K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
3,091 |
2,284 |
$138K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
1,588 |
1,141 |
$118K |
| E1002 |
Wheelchair accessory, power seating system, tilt only |
210 |
142 |
$118K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
959 |
794 |
$107K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
523 |
347 |
$103K |
| E2609 |
Custom fabricated wheelchair seat cushion, any size |
351 |
197 |
$86K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
1,300 |
751 |
$66K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
1,442 |
835 |
$61K |
| K0040 |
Adjustable angle footplate, each |
939 |
535 |
$36K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,123 |
654 |
$27K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
535 |
411 |
$24K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
189 |
150 |
$19K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
893 |
720 |
$8K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
156 |
89 |
$7K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
466 |
319 |
$6K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
742 |
327 |
$5K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
290 |
162 |
$5K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
200 |
133 |
$4K |
| E2211 |
Manual wheelchair accessory, pneumatic propulsion tire, any size, each |
160 |
107 |
$3K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
45 |
24 |
$2K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
18 |
16 |
$2K |
| E2231 |
Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware |
24 |
13 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
363 |
299 |
$1K |
| E0954 |
Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot |
25 |
12 |
$272.66 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
19 |
12 |
$208.16 |