| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0118 |
Crutch substitute, lower leg platform, with or without wheels, each |
2,217 |
2,217 |
$163K |
| E1060 |
Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests |
644 |
644 |
$74K |
| K0001 |
Standard wheelchair |
1,750 |
1,750 |
$59K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
738 |
603 |
$37K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
116 |
50 |
$20K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
12 |
12 |
$9K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
444 |
444 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
51 |
51 |
$4K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
99 |
94 |
$3K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
53 |
53 |
$2K |