| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3002 |
Foot, insert, removable, molded to patient model, plastazote or equal, each |
6,819 |
5,064 |
$1.19M |
| L3222 |
Orthopedic footwear, mens shoe, hightop, depth inlay, each |
1,466 |
1,400 |
$175K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
1,974 |
1,835 |
$171K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
1,557 |
1,455 |
$141K |
| E0745 |
Neuromuscular stimulator, electronic shock unit |
199 |
197 |
$58K |
| L3217 |
Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
365 |
340 |
$39K |
| E0731 |
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) |
186 |
184 |
$31K |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
190 |
188 |
$1K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
190 |
188 |
$1K |
| A4630 |
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
184 |
182 |
$562.22 |