| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E2370 |
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
184 |
115 |
$36K |
| E1002 |
Wheelchair accessory, power seating system, tilt only |
16 |
16 |
$13K |
| E2359 |
Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
137 |
137 |
$12K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
217 |
214 |
$12K |
| E2375 |
Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only |
13 |
13 |
$2K |
| E2374 |
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
13 |
13 |
$2K |
| E2363 |
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
13 |
13 |
$1K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
12 |
12 |
$875.44 |
| E2387 |
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each |
26 |
13 |
$329.80 |