| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0603 |
Electric breast pump |
6,773 |
6,254 |
$1.15M |
| L4361 |
Pneuma/vac walk boot pre ots |
651 |
606 |
$124K |
| L3809 |
Whfo w/o joints pre ots |
400 |
357 |
$49K |
| L1820 |
Ko elas w/ condyle pads & jo |
503 |
452 |
$38K |
| L3908 |
Who cock-up nonmolde pre ots |
694 |
590 |
$30K |
| E0114 |
Crutch underarm pair no wood |
858 |
762 |
$26K |
| L3670 |
So acro/clav can web pre ots |
505 |
433 |
$23K |
| L1902 |
Afo ankle gauntlet pre ots |
327 |
300 |
$19K |
| L0621 |
Sio flex pelvic/sacr pre ots |
202 |
179 |
$13K |
| L4360 |
Pneumat walking boot pre cst |
33 |
28 |
$4K |
| L3260 |
Ambulatory surgical boot eac |
101 |
98 |
$3K |
| A6549 |
Grad com garm noc day use |
269 |
196 |
$1K |
| A4495 |
Thigh length surg stocking |
234 |
89 |
$1K |
| L3807 |
Whfo w/o joints pre cst |
18 |
15 |
$979.03 |