| Code | Description | Claims | Beneficiaries | Total Paid |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
81 |
50 |
$2K |
| E2370 |
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
32 |
24 |
$2K |
| E2363 |
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
69 |
50 |
$1K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
53 |
38 |
$327.75 |
| K0462 |
Temporary replacement for patient owned equipment being repaired, any type |
75 |
50 |
$235.18 |