| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
695 |
506 |
$2.05M |
| 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 |
1,026 |
761 |
$824K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
118 |
86 |
$283K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
4,005 |
3,085 |
$229K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
2,397 |
1,289 |
$167K |
| E1002 |
Wheelchair accessory, power seating system, tilt only |
90 |
78 |
$133K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,000 |
809 |
$118K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
1,209 |
927 |
$108K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
712 |
514 |
$99K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
677 |
493 |
$86K |
| E1223 |
Wheelchair with detachable arms, footrests |
96 |
80 |
$85K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
1,110 |
811 |
$58K |
| K0842 |
Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds |
46 |
36 |
$51K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
141 |
101 |
$18K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
577 |
303 |
$13K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
380 |
187 |
$12K |
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
184 |
170 |
$12K |
| K0005 |
Ultralightweight wheelchair |
53 |
44 |
$12K |
| K0040 |
Adjustable angle footplate, each |
321 |
193 |
$8K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
513 |
288 |
$8K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
113 |
84 |
$8K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
123 |
80 |
$5K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
811 |
609 |
$4K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
41 |
26 |
$4K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
421 |
320 |
$3K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
72 |
55 |
$3K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
33 |
13 |
$2K |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
234 |
129 |
$2K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
207 |
122 |
$1K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
65 |
50 |
$670.71 |
| K0019 |
Arm pad, replacement only, each |
21 |
12 |
$93.26 |