| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1161 |
Manual adult size wheelchair, includes tilt in space |
524 |
474 |
$803K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
2,027 |
1,616 |
$276K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
1,112 |
839 |
$199K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
1,026 |
921 |
$92K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,738 |
1,523 |
$83K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
418 |
326 |
$50K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
165 |
150 |
$32K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
89 |
85 |
$31K |
| K0040 |
Adjustable angle footplate, each |
276 |
215 |
$23K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
252 |
208 |
$15K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
33 |
29 |
$7K |
| E2231 |
Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware |
40 |
38 |
$5K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
54 |
43 |
$1K |