| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
41 |
38 |
$218K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
708 |
482 |
$74K |
| 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 |
41 |
38 |
$57K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
13 |
12 |
$48K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
357 |
324 |
$25K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
41 |
38 |
$14K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
13 |
12 |
$8K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
41 |
38 |
$8K |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
77 |
77 |
$4K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
31 |
12 |
$3K |