| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
7,628 |
2,261 |
$1.02M |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
2,178 |
2,021 |
$140K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
60 |
59 |
$72K |
| E1399 |
Durable medical equipment, miscellaneous |
29 |
25 |
$37K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
257 |
209 |
$36K |
| K0040 |
Adjustable angle footplate, each |
302 |
265 |
$35K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
208 |
145 |
$33K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
122 |
91 |
$21K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
275 |
229 |
$21K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
419 |
351 |
$12K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
149 |
135 |
$11K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
92 |
92 |
$11K |
| E2613 |
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware |
12 |
12 |
$4K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
43 |
43 |
$2K |