| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
732 |
540 |
$642K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
3,449 |
2,966 |
$253K |
| 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 |
859 |
639 |
$219K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
190 |
117 |
$183K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
104 |
81 |
$167K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
738 |
535 |
$81K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
1,084 |
829 |
$58K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
2,786 |
1,524 |
$58K |
| K0821 |
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
661 |
617 |
$57K |
| K0005 |
Ultralightweight wheelchair |
59 |
39 |
$50K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
710 |
526 |
$40K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
682 |
500 |
$23K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
1,331 |
975 |
$19K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
71 |
62 |
$9K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
166 |
106 |
$8K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
54 |
42 |
$6K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
136 |
89 |
$4K |
| K0800 |
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
13 |
13 |
$3K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
55 |
50 |
$2K |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
59 |
43 |
$2K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
240 |
209 |
$2K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
109 |
84 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
326 |
258 |
$970.71 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
86 |
52 |
$955.60 |
| E0961 |
Manual wheelchair accessory, wheel lock brake extension (handle), each |
18 |
12 |
$427.96 |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
14 |
12 |
$383.52 |
| K0733 |
Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
27 |
27 |
$295.89 |
| E1161 |
Manual adult size wheelchair, includes tilt in space |
12 |
12 |
$277.74 |