| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
701 |
327 |
$1.29M |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
611 |
455 |
$147K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
495 |
288 |
$96K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
74 |
36 |
$9K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
30 |
13 |
$656.78 |