| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1161 |
Manual adult size wheelchair, includes tilt in space |
2,064 |
2,054 |
$213K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
1,438 |
1,392 |
$106K |
| E0955 |
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
2,124 |
2,106 |
$49K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
1,963 |
1,838 |
$6K |
| K0040 |
Adjustable angle footplate, each |
114 |
79 |
$6K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
67 |
49 |
$2K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
25 |
25 |
$2K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
21 |
12 |
$297.37 |