| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
1,090 |
804 |
$2.87M |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
508 |
367 |
$1.32M |
| 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 |
1,318 |
975 |
$998K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
1,219 |
887 |
$870K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
2,718 |
2,242 |
$424K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
3,019 |
1,896 |
$288K |
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
2,384 |
1,929 |
$275K |
| K0005 |
Ultralightweight wheelchair |
299 |
232 |
$218K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
1,813 |
1,300 |
$168K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
1,049 |
776 |
$149K |
| E1002 |
Wheelchair accessory, power seating system, tilt only |
153 |
108 |
$120K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
1,839 |
1,370 |
$117K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
594 |
444 |
$109K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
1,038 |
764 |
$108K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
1,375 |
662 |
$75K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
177 |
120 |
$40K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
631 |
491 |
$39K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
694 |
461 |
$34K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
107 |
93 |
$25K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
168 |
117 |
$23K |
| K0835 |
Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
21 |
16 |
$21K |
| E0277 |
Powered pressure-reducing air mattress |
252 |
234 |
$20K |
| E0373 |
Nonpowered advanced pressure reducing mattress |
103 |
88 |
$16K |
| K0040 |
Adjustable angle footplate, each |
350 |
237 |
$15K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,111 |
845 |
$11K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
422 |
288 |
$11K |
| K0842 |
Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds |
19 |
13 |
$8K |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
61 |
50 |
$7K |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
105 |
72 |
$6K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
214 |
182 |
$6K |
| K0816 |
Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds |
57 |
49 |
$3K |
| E2211 |
Manual wheelchair accessory, pneumatic propulsion tire, any size, each |
128 |
90 |
$3K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
13 |
12 |
$1K |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
151 |
93 |
$1K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
84 |
66 |
$1K |
| E2213 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
53 |
38 |
$947.24 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
29 |
26 |
$765.81 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
13 |
$308.80 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
81 |
65 |
$103.02 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
16 |
12 |
$79.61 |