| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
2,478 |
1,369 |
$620K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
2,816 |
2,581 |
$461K |
| E2361 |
Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
1,222 |
1,163 |
$402K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
76 |
64 |
$372K |
| E1007 |
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
25 |
25 |
$260K |
| K0861 |
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
13 |
13 |
$114K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
522 |
450 |
$79K |
| 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 |
28 |
28 |
$77K |
| E2374 |
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
73 |
73 |
$67K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
236 |
173 |
$66K |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
312 |
259 |
$52K |
| E2395 |
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
172 |
160 |
$46K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
120 |
107 |
$38K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
107 |
99 |
$33K |
| E2389 |
Power wheelchair accessory, foam caster tire, any size, replacement only, each |
157 |
143 |
$23K |
| E1012 |
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
12 |
12 |
$19K |
| E2377 |
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
25 |
25 |
$14K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
63 |
63 |
$11K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
24 |
24 |
$9K |
| E2620 |
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
13 |
13 |
$8K |
| E2210 |
Wheelchair accessory, bearings, any type, replacement only, each |
229 |
197 |
$8K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
27 |
26 |
$7K |
| K0019 |
Arm pad, replacement only, each |
42 |
40 |
$2K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
107 |
80 |
$607.92 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
38 |
24 |
$273.42 |