| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
14,410 |
10,273 |
$401K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
2,021 |
1,458 |
$112K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
3,138 |
2,144 |
$52K |
| K0822 |
Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
968 |
655 |
$37K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,088 |
702 |
$7K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
592 |
223 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
5,512 |
3,823 |
$2K |
| E2381 |
Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each |
86 |
49 |
$582.88 |
| E2391 |
Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each |
69 |
39 |
$116.61 |