| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0108 |
Wheelchair component or accessory, not otherwise specified |
586 |
301 |
$134K |
| E1399 |
Durable medical equipment, miscellaneous |
19 |
13 |
$37K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
181 |
131 |
$36K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
541 |
448 |
$35K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
126 |
109 |
$9K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
18 |
15 |
$3K |