| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
274 |
265 |
$126K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
441 |
416 |
$27K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
95 |
93 |
$6K |
| E0627 |
Seat lift mechanism, electric, any type |
41 |
41 |
$4K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
12 |
12 |
$2K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
136 |
123 |
$1K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
12 |
12 |
$214.75 |