| Code | Description | Claims | Beneficiaries | Total Paid |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
35 |
34 |
$5K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
16 |
15 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
30 |
29 |
$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 |
25 |
25 |
$2K |
| E2231 |
Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware |
16 |
15 |
$1K |