| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
3,487 |
2,898 |
$718K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
4,582 |
4,360 |
$268K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
2,540 |
1,996 |
$174K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
993 |
986 |
$143K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
593 |
497 |
$44K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
232 |
230 |
$42K |
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
198 |
197 |
$36K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
547 |
542 |
$21K |
| E1399 |
Durable medical equipment, miscellaneous |
15 |
13 |
$20K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
13 |
13 |
$12K |
| K0040 |
Adjustable angle footplate, each |
93 |
75 |
$9K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
252 |
229 |
$5K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
30 |
28 |
$4K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
20 |
12 |
$4K |
| E2392 |
Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
38 |
37 |
$4K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
66 |
65 |
$3K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
31 |
31 |
$2K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
26 |
25 |
$2K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
26 |
24 |
$735.78 |
| E2206 |
Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each |
13 |
12 |
$162.50 |