| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
2,465 |
1,788 |
$974K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
827 |
702 |
$39K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
118 |
106 |
$15K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
43 |
41 |
$6K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
31 |
25 |
$993.84 |