| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
8,010 |
5,960 |
$666K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
1,980 |
1,531 |
$88K |
| K0825 |
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
525 |
424 |
$38K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
214 |
159 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
3,320 |
2,418 |
$5K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
481 |
371 |
$4K |
| K0822 |
Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
64 |
37 |
$2K |
| E2381 |
Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each |
40 |
28 |
$1K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
20 |
12 |
$654.99 |
| E2391 |
Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each |
54 |
40 |
$572.30 |
| E2382 |
Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each |
23 |
15 |
$202.26 |