| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
1,315 |
1,149 |
$149K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,283 |
1,158 |
$146K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,803 |
1,108 |
$129K |
| 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 |
81 |
68 |
$60K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
99 |
73 |
$52K |
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
16 |
13 |
$49K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
502 |
378 |
$36K |
| E1002 |
Wheelchair accessory, power seating system, tilt only |
15 |
12 |
$22K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
474 |
397 |
$18K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
67 |
63 |
$3K |
| K0004 |
High strength, lightweight wheelchair |
80 |
76 |
$1K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
246 |
201 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
49 |
49 |
$834.34 |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
34 |
25 |
$364.47 |