| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
665 |
660 |
$237K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,044 |
1,014 |
$17K |
| K0001 |
Standard wheelchair |
383 |
379 |
$8K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
14 |
13 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
165 |
165 |
$1K |