| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1399 |
Durable medical equipment, miscellaneous |
652 |
576 |
$1.22M |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
848 |
694 |
$597K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
541 |
475 |
$167K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
1,136 |
951 |
$88K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
291 |
263 |
$55K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
405 |
364 |
$50K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
382 |
346 |
$31K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
288 |
267 |
$14K |
| K0040 |
Adjustable angle footplate, each |
123 |
107 |
$11K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
269 |
246 |
$9K |
| E0950 |
Wheelchair accessory, tray, each |
62 |
55 |
$8K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
58 |
53 |
$4K |
| E2231 |
Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware |
50 |
38 |
$3K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
12 |
12 |
$2K |