| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
10,550 |
4,613 |
$2.34M |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
6,518 |
6,102 |
$528K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
344 |
323 |
$521K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,598 |
1,263 |
$279K |
| E1399 |
Durable medical equipment, miscellaneous |
281 |
243 |
$169K |
| K0040 |
Adjustable angle footplate, each |
873 |
722 |
$100K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
649 |
556 |
$93K |
| E8000 |
Gait trainer, pediatric size, posterior support, includes all accessories and components |
39 |
39 |
$86K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
655 |
547 |
$51K |
| E2617 |
Custom fabricated wheelchair back cushion, any size, including any type mounting hardware |
44 |
38 |
$47K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
372 |
302 |
$29K |
| E0956 |
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
140 |
107 |
$29K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
902 |
834 |
$26K |
| K0005 |
Ultralightweight wheelchair |
12 |
12 |
$18K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
148 |
137 |
$17K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
49 |
44 |
$11K |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
75 |
67 |
$9K |
| E2607 |
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
37 |
37 |
$9K |
| E2219 |
Manual wheelchair accessory, foam caster tire, any size, each |
106 |
90 |
$7K |
| E2392 |
Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
26 |
24 |
$3K |
| E2624 |
Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth |
13 |
12 |
$3K |
| E0950 |
Wheelchair accessory, tray, each |
19 |
12 |
$1K |
| K0019 |
Arm pad, replacement only, each |
12 |
12 |
$351.74 |