| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
540 |
535 |
$918K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
230 |
227 |
$536K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
3,059 |
1,063 |
$421K |
| 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 |
578 |
574 |
$281K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
735 |
724 |
$166K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
486 |
481 |
$136K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
3,376 |
2,050 |
$133K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
562 |
557 |
$54K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
949 |
908 |
$47K |
| E2359 |
Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
335 |
330 |
$41K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
1,647 |
1,623 |
$35K |
| E0986 |
Manual wheelchair accessory, power assist system |
206 |
205 |
$35K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
552 |
547 |
$27K |
| E2300 |
Wheelchair accessory, power seat elevation system, any type |
72 |
69 |
$25K |
| K0040 |
Adjustable angle footplate, each |
708 |
476 |
$21K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
109 |
106 |
$12K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
166 |
164 |
$11K |
| E2298 |
Complex rehabilitative power wheelchair accessory, power seat elevation system, any type |
30 |
30 |
$7K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
144 |
103 |
$7K |
| E0953 |
Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each |
50 |
32 |
$3K |
| E2370 |
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
17 |
12 |
$2K |
| E2363 |
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
13 |
13 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
54 |
40 |
$1K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
27 |
27 |
$1K |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
57 |
34 |
$657.66 |
| E2395 |
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
27 |
26 |
$610.07 |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
26 |
26 |
$553.44 |
| E1225 |
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each |
26 |
25 |
$530.58 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
30 |
29 |
$416.87 |
| K0019 |
Arm pad, replacement only, each |
18 |
12 |
$75.32 |