| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
1,676 |
1,286 |
$4.93M |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
653 |
484 |
$1.53M |
| 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 |
2,007 |
1,546 |
$1.48M |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
4,232 |
3,405 |
$780K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
2,063 |
1,592 |
$563K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
1,579 |
1,220 |
$283K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
3,934 |
2,266 |
$266K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
1,001 |
844 |
$246K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
2,613 |
1,919 |
$189K |
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
3,051 |
2,543 |
$181K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
1,473 |
1,135 |
$174K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
537 |
400 |
$121K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
2,194 |
1,708 |
$104K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
1,018 |
602 |
$59K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
987 |
740 |
$44K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
218 |
157 |
$30K |
| E1002 |
Wheelchair accessory, power seating system, tilt only |
12 |
12 |
$26K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,793 |
1,415 |
$17K |
| K0005 |
Ultralightweight wheelchair |
13 |
12 |
$10K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
172 |
107 |
$4K |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
35 |
32 |
$2K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
33 |
27 |
$2K |
| K0040 |
Adjustable angle footplate, each |
62 |
40 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
361 |
300 |
$620.64 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
33 |
27 |
$301.26 |
| E2211 |
Manual wheelchair accessory, pneumatic propulsion tire, any size, each |
23 |
14 |
$221.34 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
21 |
13 |
$198.53 |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
21 |
13 |
$186.29 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
23 |
14 |
$70.55 |