| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
2,991 |
2,879 |
$122K |
| K0462 |
Temporary replacement for patient owned equipment being repaired, any type |
2,161 |
2,132 |
$110K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
1,256 |
1,226 |
$103K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
3,468 |
1,974 |
$91K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
670 |
663 |
$66K |
| E2387 |
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each |
1,559 |
1,521 |
$58K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
655 |
645 |
$49K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
587 |
572 |
$45K |
| E2395 |
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
939 |
917 |
$28K |
| E2210 |
Wheelchair accessory, bearings, any type, replacement only, each |
1,620 |
1,585 |
$15K |
| E2313 |
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
164 |
164 |
$7K |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
173 |
173 |
$7K |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
45 |
44 |
$532.81 |